JP7229020B2 - Information processing system, its control method, and program - Google Patents

Description

TECHNICAL FIELD The present invention relates to an information processing system, its control method, and program, and more particularly to a technique for reducing the use of incorrect indicators by users.

Conventionally, Patent Literature 1 proposes a method of assigning an ID number to each surgical instrument and managing each surgical instrument.

Further, Patent Document 2 discloses a chemical indicator provided with a barcode identification mark 71 for identifying the sterilizer 12 .

JP-A-7-178106 Japanese Patent Application Laid-Open No. 2007-307088

Conventionally, when a user performing work related to sterilization of an object to be sterilized uses an indicator for sterilization that is not a sterilization method indicator corresponding to the type of object to be sterilized, the indicator It was not possible to perform an evaluation related to sterilization by

SUMMARY OF THE INVENTION Accordingly, it is an object of the present invention to provide a mechanism for enabling a reduction in the use of incorrect indicators by the user.

In the present invention, a receiving means for receiving a type of an object to be sterilized, a reading means for reading identification information recorded in an indicator relating to sterilization, and an indicator identified by the identification information read by the reading means are provided by the receiving means. and output means for outputting an alert when the sterilization method indicator does not correspond to the type of received object to be sterilized.

According to the present invention, it is possible to reduce the use of incorrect indicators by the user.

1 shows an example of a system configuration of an information processing system of the present invention; 2 is a block diagram showing an example of a hardware configuration of an information processing apparatus applicable to the server 101, surgery management system 122, and client terminals 102, 106, 109, 113, 116, and 119 shown in FIG. 1; FIG. 4 is a flow chart showing an example of processing executed by the server 101 in the assembly/packaging process. 4 is a flowchart showing an example of processing executed by the server 101 in a sterilization process; 4 is a flowchart showing an example of processing executed by the server 101 in a storage process; 4 is a flow chart showing an example of processing executed by the server 101 in a payout step. 4 is a flowchart showing an example of processing executed by the server 101 in an opening process/surgical process; 4 is a flowchart showing an example of processing executed by the server 101 in an opening process/surgical process; 4 is a flowchart showing an example of processing executed by the server 101 in a collection process; 4 is a flow chart showing an example of processing by the server 101 for outputting (displaying) a sterilization management report in response to a request from each client terminal. 11 is a diagram showing an example of an equipment set selection screen 1101. FIG. 12A and 12B are diagrams showing an example of a chemical indicator 1205; FIG. FIG. 13A is an example of chemical indicator 1205 before cutting at cut 1203, and FIG. 13B is an example of chemical indicator 1205 after cutting at cut 1203. FIG. FIG. 14A is an example of a drawing in which a set of equipment and a sheet 1301 for inside packaging are put in a packaging material 1401, and FIG. It is an example of a diagram in which a lid is attached to the lid and a sheet 1302 for packaging exterior is attached to the lid. 3 is a diagram showing an example of a data table stored in storage means such as an external memory of server 101. FIG. 16 shows examples of alert screens (1600, 1601, 1603 to 1607) and a display screen (1602) showing how to assemble and maintain equipment, and how to place the equipment set in the package. It is a figure which shows an example of a cycle report. It is a figure which shows an example of a predetermined condition. 19 shows an example of a sterilization management report 1901; FIG. 4 is a diagram showing an example of surgery information (order information) 2001; FIG. 10 is a diagram showing an example of surgery information (order information) 2001 displayed on the client terminal 116. FIG.

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

FIG. 1 is a diagram showing an example of the system configuration of an information processing system of the present invention.

The information processing system shown in FIG. 1 is a system including each client terminal (102, 106, 109, 113, 116, 119) installed in a hospital, a server 101, and an operation management system 122. FIG. The server 101 and surgery management system 122 may be installed in a hospital.

In this embodiment, an example in which each client terminal is installed in a hospital will be described, but any facility that performs sterilization instead of a hospital may be used. Similarly, the server 101 and the surgery management system 122 may also be installed in a sterilization facility instead of a hospital.

As shown in FIG. 1, the hospital has a central material room, a washing room, an assembly area, a sterilization area, a previously sterilized area, a dispensing area, and an operating room/surgical preparation room. Here, it is assumed that the assembly area and the sterilization area are in the same room, and the sterilization area and the dispensing area are in the same room.

A client terminal 102, a reader 103 communicatively connected to the client terminal 102, and an imaging device 104 communicatively connected to the client terminal 102 are installed in the central material room. The reading device 103 is a device for photographing and reading identification information portions (1202, 1204) and a discolored portion 1201 of an indicator (chemical indicator 1205), which will be described later. That is, the reading device 103 is an imaging device that captures an image of the identification information portion (1202, 1204) and the discolored portion 1201 to acquire the image. The reading device 103 transmits the image to the client terminal 102, and the client terminal 102 acquires the image. The client terminal 102 has a function of transmitting the image to the server 101 . Further, the reading device 103 reads the information recorded in the identification information part in the image, transmits the information together with the image to the client terminal 102, and the client terminal 102 transmits the image and the information to the server 101. You can also send it. Each reading device and each client terminal shown in FIG. 1 has a function of performing processing similar to this.

The identification information part (1202, 1204) is, for example, a code such as a one-dimensional code or a two-dimensional code. Information recorded in the identification information section is identification information for identifying the chemical indicator 1205 . Although details will be described later, the information recorded in the identification information section is information that eventually functions as information for specifying the object to be sterilized. A chemical indicator is also simply called CI. Also, the imaging device 104 is a digital camera.

In addition, the central supply room is a room where items to be sterilized (instruments, sets of each equipment (instrument sets)) used in the operating room/surgical preparation room are collected, and the type and number of the relevant equipment sets are confirmed. be. Therefore, the process in the central material room is called the collection process.

The cleaning room is a room in which an operator (user) disassembles the equipment confirmed in the central material room into items and cleans the respective items with the cleaning machine 105 . The process in the washing room is called the washing process.

In the assembly area, an operator (user) assembles each item washed by the washing machine 105 into equipment, and sets the set of equipment in a packaging material such as a sterilization container for packaging. Therefore, the process in the assembly area is called the assembly/packaging process.

A reading device 107 , an imaging device 108 , and a client terminal 106 are installed in the assembly area.

In the sterilization area, an operator (user) puts the instrument set assembled and packaged in the assembly area into the sterilization chamber of the sterilizer 112 and sterilizes it. Therefore, the process in the sterilization area is called the sterilization process.

A reader 110 and a client terminal 109 are provided in the sterilization area, and the client terminal 109 is communicably connected to the reader 110 .

The sterilizer 112, for example, has a general double-door specification, and the instrument set can be put into the sterilization chamber of the sterilizer 112 from the sterilization area. It is configured so that it can be taken out directly from the sterilization chamber to the previously sterilized area, which will be described later. In addition, the sterilizer 112 is not one unit, but a plurality of types of sterilizers are installed, such as a sterilizer that uses hydrogen peroxide gas as a sterilization gas and a sterilizer that uses high-pressure steam of water as a sterilization gas. There are sterilizers and sterilizers that use formalin as a sterilization gas.

The pre-sterilized area is an area where an operator (user) directly takes out the instrument set sterilized in the sterilization chamber of the sterilizer 112 from the sterilization chamber and stores it. Therefore, the process in the already sterilized area is called the storage process.

A reading device 114 and a client terminal 113 are provided in the pre-sterilized area, and the client terminal 113 is connected to the reading device 114 so as to be communicable.

The dispensing area is an area where the operator (user) dispenses the stored equipment set to the operating room/surgical preparation room. Therefore, the process in the payout area is called the payout process.

A reading device 117, an imaging device 118, and a client terminal 116 are installed in the payout area, and the client terminal 116 is communicably connected to the reading device 117 and the imaging device 118. FIG.

In the operating room/surgery preparation room, an operator (user) unpacks the delivered instrument set, checks the instrument set, and uses the instrument set for surgery. Therefore, the process in the operating room/surgery preparation room is called the unsealing process/surgical process.

A reading device 120, an imaging device 121, and a client terminal 119 are installed in the operating room/surgery preparation room, and the client terminal 119 is connected to the reading device 120 and the imaging device 121 so as to be communicable.

Equipment sets used in the operating room/surgical preparation room are collected in the central supply room.

Each client terminal (102, 106, 109, 113, 116, 119), the sterilizer 112, and the washing machine 105 are connected to the server 101 so as to be able to communicate with each other. Connected for communication. Each client terminal ( 102 , 106 , 109 , 113 , 116 , 119 ) functions as an input/output terminal (display terminal, input terminal) of the server 101 .

The procedure (flow) for managing instruments or instruments to be sterilized is the following order: recovery process, cleaning process, assembly/packaging process, sterilization process, storage process, delivery process, opening process/operation process. That is, the processes shown in FIGS. 3 to 9 below are executed in this order.
<Figure 2>
FIG. 2 is a block diagram showing an example of a hardware configuration of an information processing device applicable to the server 101, surgery management system 122, client terminals 102, 106, 109, 113, 116, and 119 shown in FIG.

As shown in FIG. 2, the information processing apparatus includes a CPU (Central Processing Unit) 201, a ROM (Read Only Memory) 203, a RAM (Random Access Memory) 202, an input controller 205, a video controller 206, A memory controller 207 and a communication I/F controller 208 are connected.

The CPU 201 comprehensively controls each device and controller connected to the system bus 204 .

A storage device such as the ROM 203 or the external memory 211 stores BIOS (Basic Input/Output System) and OS (Operating System), which are control programs executed by the CPU 201, and computer-readable executable programs for realizing this information processing method. and holds various necessary data (including data tables).

A RAM 202 functions as a main memory, a work area, and the like for the CPU 201 . The CPU 201 loads necessary programs and the like from the ROM 203 or the external memory 211 to the RAM 202 when executing processing, and implements various operations by executing the loaded programs.

The input controller 205 controls input from an input device 209 (input device). The input device 209 includes a keyboard, a touch panel, a pointing device such as a mouse, and the like.

If the input device 209 is a touch panel, the user can give various instructions by pressing (touching with a finger or the like) an icon, cursor, or button displayed on the touch panel.

Also, the touch panel may be a touch panel, such as a multi-touch screen, capable of detecting positions touched by multiple fingers.

Video controller 206 controls display on an external output device, such as display device 210 . The display shall include the display of a notebook computer integrated with the main body. Note that the external output device is not limited to a display, and may be a projector, for example. In addition, the input device 209 is provided as a device capable of receiving touch operations as described above.

The video controller 206 can control a video memory (VRAM) for performing display control, and can use a part of the RAM 202 as a video memory area, or provide a separate dedicated video memory. is also possible.

A memory controller 207 controls access to the external memory 211 . As the external memory, memory such as an external storage device (hard disk) or flexible disk (FD) for storing boot programs, various applications, font data, user files, edit files, and various data can be used.

A communication I/F controller 208 connects and communicates with an external device via a network, and executes communication control processing in the network. For example, communication using TCP/IP, communication using Wi-Fi, 3G lines, and LTE lines are possible.

A storage device such as the external memory 211 is a medium for permanently storing information, and its form is not limited to a storage device such as a hard disk. For example, a medium such as an SSD (Solid State Drive) may be used.

It can also be used as a temporary memory area during various processes performed by the communication terminal in this embodiment.

The CPU 201 enables display on the display device 210 by, for example, rasterizing an outline font to a display information area in the RAM 202 . The CPU 201 also allows the user to issue instructions using a mouse cursor (not shown) on the display device 210 .
<Figure 3>
Next, the processing executed by the server 101 in the assembly/packaging process will be described using the flowchart shown in FIG.

FIG. 3 is a flowchart showing an example of processing executed by the server 101 in the assembly/packaging process.

The processing of each step shown in FIG. 3 is realized by the CPU of the server 101 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

First, in the washing process, the user takes out from the washing machine 105 each item that constitutes each piece of equipment of the equipment set that has been washed by the washing machine 105 .

The server 101 displays an equipment set selection screen (FIG. 11) on the client terminal 106 .

FIG. 11 is a diagram showing an example of the equipment set selection screen 1101. As shown in FIG.

The equipment set selection screen 1101 includes a pull-down menu 1102 for selecting a clinical department, the equipment set name used in the clinical department selected in the pull-down menu 1102, the type (model) of the equipment set, and the number of equipment constituting the equipment set. This is a screen for displaying a display column 1103 to be displayed.

When the server 101 receives from the client terminal 106 the clinical department selected by the user via the equipment set selection screen 1101, the equipment set name stored in the equipment set information 1501 corresponding to the selected clinical department, The type (model) of the equipment set and the number of equipment are acquired, and the acquired information is displayed in the display field 1103 of the equipment set selection screen 1101 of the client terminal 106 .

Then, the user selects a record of the equipment set name, the type (model) of the equipment set, and the number of equipment displayed in the display field 1103 .

When the server 101 receives from the client terminal 106 the equipment set name, equipment set type (model), and number of equipment selected by the user via the display field 1103, the received equipment set name and equipment set type ( model) and the record of the equipment set information 1501 stored corresponding to the number of equipment (S301). S301 is an application section of reception means for receiving the type of object to be sterilized.

Here, the data table shown in the equipment set information 1501 shown in FIG. 15 will be described.

Equipment set information 1501 shown in FIG. 15 is a data table stored in storage means such as an external memory of the server 101 .

The equipment set information 1501 includes "medical department", "equipment set name", "equipment set type (model)", "number of equipment", "assembly method", "placement in package", and "maintenance method". , 'shape of each instrument', 'sterilization method', 'sterilizer', and 'indicator type', and these items are associated and stored. The "medical department" stores data indicating the medical department, and the "equipment set name" stores data of the equipment set name. Further, in the "type of equipment set (model)", data indicating the type (model) of the equipment set is stored. The "number of equipment" stores the number of equipment that constitutes the equipment set. In addition, the "Assembly method" stores data indicating the method of assembling the equipment by assembling the items that make up the equipment. Data indicating the placement position and placement method is stored.

The "maintenance method" stores data indicating the maintenance method of the equipment set, and the "shape of each equipment" stores data (shape information) indicating the shape of each equipment. That is, the "shape of each device" stores shape information for each device that constitutes the device set. In the "sterilization method", a sterilization method suitable for sterilizing the instrument set, such as a sterilization method using hydrogen peroxide gas or a sterilization method using high-pressure steam sterilization, is stored. "Sterilizer" stores data indicating the model and type of the sterilizer to be sterilized by the sterilization method. In addition, data indicating the type of indicator used for the sterilization method and the sterilizer is stored in the "type of indicator".

Next, the reading device 107 photographs the discolored portion 1201 and the identification information portion 1202 for the inside of the package of the sheet 1301 for the inside of the package of the unused chemical indicator 1205 to be used for sterilization. The chemical indicator 1205 to be photographed here is the chemical indicator 1205 composed of a packaging inner sheet 1301 to be put inside the packaging material 1401 and a packaging outer sheet 1302 attached to the outside of the packaging material 1401 . The reading device 107 then transmits the captured image to the client terminal 106 . When the client terminal 106 acquires the image, it transmits the image to the server 101 . When acquiring the image, the server 101 reads the color value (color value) of the discolored portion of the image and the identification information recorded in the identification information section 1202 (identification information recorded in the indicator related to sterilization). Acquire (S302). S302 is an application example of reading means for reading the identification information recorded in the indicator related to sterilization.

FIG. 12 is a diagram showing an example of the chemical indicator 1205. As shown in FIG.

Here, the configuration of chemical indicator 1205 will be described with reference to FIG.

The chemical indicator 1205 is formed as one sheet with a cut 1203 between the inner packaging sheet 1301 and the outer packaging sheet 1302 . The cut 1203 makes it easier for the user to cut along the cut 1203 to separate the inner packaging sheet 1301 and the outer packaging sheet 1302 .

The sheet for packaging interior 1301 is a sheet provided on its surface with a discoloration portion 1201 that is discolored by sterilization gas for sterilizing an object to be sterilized, such as a set of equipment, and an identification information portion 1202. It is a sheet placed inside a packaging material (a sterilization container or the like and simply called a container) for packaging. The discolored portion 1201 changes color when it comes into contact with sterilization gas for sterilizing the object to be sterilized.

In addition, the packaging external sheet 1302 is a sheet having the identification information section 124 on its surface, and is a sheet arranged outside the packaging material for packaging the object to be sterilized. Here, external means a location within the sterilization chamber of the sterilizer but outside the packaging. For example, since the back surface of the packaging exterior sheet 1302 is provided with an adhesive portion 1207 to which an adhesive is applied, it can be attached to the outer surface of the packaging material, for example. As a result, it becomes difficult to remove the packaging exterior sheet 1302 from the packaging material, and the corresponding relationship between the packaging material and the packaging exterior sheet 1302 is less likely to be mistaken.

Also, the identification information recorded in the identification information section 1202 and the identification information recorded in the identification information section 1204 are the same information.

15, the back surface of the inner packaging sheet 1301 is a non-adhesive portion 1206 having no adhesive portion. This makes it easier to sterilize the back side of the inner packaging sheet 1301 inside the packaging material with the sterilizer.

In the example of FIG. 15, the back surface of the inner packaging sheet 1301 is the non-adhesive portion 1206, but the 1206 may be provided with an adhesive portion.

The user cuts off the chemical indicator 1205 at the cut line 1203 to divide it into a sheet 1301 for the inside of the package and a sheet 1302 for the outside of the package, as shown in FIG.

FIG. 13A is an example of chemical indicator 1205 before cutting at cut 1203, and FIG. 13B is an example of chemical indicator 1205 after cutting at cut 1203. FIG.

Then, as shown in FIG. 14, the user puts the packaging inner sheet 1301 cut at the slit 1203 into the packaging material 1401 together with the equipment set (for example, equipment A, equipment B, and equipment C set). Then, the sheet 1302 for packaging exterior is attached to the outer surface of the packaging material 1401 .

FIG. 14(A) is an example of a drawing in which a packaging material 1401 is filled with a set of equipment and a sheet 1301 for packaging interior. FIG. 14(B) is an example of a diagram in which a packaging material 1401 containing a set of equipment and an inner packaging sheet 1301 is covered with a lid, and an outer packaging sheet 1302 is attached to the lid.

Returning to the description of FIG.

The server 101 determines whether the color value (color value) of the discolored portion acquired in S302 is the color value (specified value (predetermined value)) of the initial color of the unused discolored portion 1201. It is determined whether or not the initial color of the discolored portion 1201 satisfies a prescribed value (S303).

The server 101 determines that the color value (color value) of the discolored portion acquired in S302 is the color value (specified value (predetermined value)) of the initial color of the unused discolored portion 1201 (the initial color of the discolored portion is the specified value). is satisfied) (S303: YES), the process proceeds to S305. If it is determined that the color is not the color value (predetermined value (predetermined value)) (the initial color of the discolored portion does not satisfy the predetermined value) (S303: NO), the process proceeds to S304.

In S304, the server 101 outputs an alert to the client terminal 106 indicating that the initial color of the discolored portion does not meet the specified value. Specifically, the server 101 causes the client terminal 106 to display an indication that the initial color of the discolored portion does not meet the specified value (S304). Alert screen 0 (1600) shown in FIG. 16 is an example of the alert screen displayed on the client terminal 106 in S304. Then, the process returns to S302. S304 is an application example of the initial color output means, and outputs an alert when the color value read in S302 is not the specified value for the initial color of the discolored portion.

The server 101 determines in S305 whether or not the chemical indicator whose identification information has been read in S302 is the indicator of the sterilization method corresponding to the instrument set selected in S301. S305 is an application example of the determination means, and determines whether the indicator identified by the identification information read in S302 is the indicator of the sterilization method corresponding to the type of object to be sterilized received in S301.

Specifically, the server 101 identifies the sterilization method, the sterilizer, or the indicator type of the indicator that can use the indicator identified by the identification information read in S302.

For example, the server 101 identifies a record in which part of the identification information read in S302 (for example, the leading two-digit number of the identification information) is stored in correspondence with the indicator information 1502 of FIG. This specifies the sterilization method, the sterilizer, or the indicator type of the indicator that can use the indicator identified by the identification information read in S302.

The indicator information 1502 in FIG. 15 includes items of "part of the identification information of the identification information part", "sterilization method", "sterilizer", and "type of indicator".

A part of the identification information (for example, the leading two-digit number of the identification information) is stored in the “part of the identification information of the identification information part”. Part of this identification information is information that identifies the sterilization method, sterilizer, or type of indicator for which the indicator can be used. "Sterilization method" stores data indicating a sterilization method that can use the indicator identified by the identification information. "Sterilizer" stores data indicating the sterilizer that can use the indicator identified by the identification information. In addition, the "type of indicator" stores data indicating the type of indicator that can use the indicator identified by the identification information. The indicator information 1502 in FIG. 15 is stored in storage means such as the external memory 211 of the server 101 .

Next, the server 101 selects the sterilization method, sterilizer, and indicator type stored in the equipment set information 1501 in FIG. identify.

Then, the server 101 acquires the indicator type specified from part of the identification information read in S302 (for example, the first two digits of the identification information), the equipment set name selected in S301, and the equipment set By determining whether the chemical indicator whose identification information is read in S302 is the same as the indicator type specified from the type (model) of the sterilization method indicator corresponding to the equipment set selected in S301 Determine whether or not

Further, for example, if the equipment set information 1501 does not include the items "sterilizer" and "type of indicator", the server 101 selects the equipment set name and the type (model) of the equipment set selected in S301. , the sterilization method stored in the equipment set information 1501 of FIG. 15 is specified, and the indicator type stored in the indicator information 1502 is specified in correspondence with the sterilization method. In addition, the server 101 identifies the type of indicator stored in association with the indicator information 1502 in part of the identification information read in S302. Then, the server 101 determines whether or not the types of these indicators match, so that the chemical indicator whose identification information was read in S302 is the indicator of the sterilization method corresponding to the equipment set selected in S301. Determine whether or not

When the server 101 determines that the chemical indicator whose identification information has been read in S302 is the indicator of the sterilization method corresponding to the equipment set selected in S301 (S305: YES), the process proceeds to S306. On the other hand, if it is determined in S305 that the chemical indicator whose identification information was read in S302 is not the indicator of the sterilization method corresponding to the equipment set selected in S301, the process proceeds to S307.

In S307, the server 101 outputs an alert to the client terminal 106 indicating that the chemical indicator whose identification information was read in S302 is not the indicator of the sterilization method corresponding to the instrument set selected in S301. Specifically, the server 101 causes the client terminal 106 to display alert screen 1 (1601) shown in FIG. 16 (S307). Then, the process returns to S302.

S307 is an application example of the output means, and when the indicator identified by the identification information read in S302 is not the indicator of the sterilization method corresponding to the type of object to be sterilized accepted in S301 (S305: NO) , to output an alert.

In S306, the server 101 performs association processing between the identification information read in S302 and the equipment set information.

Specifically, the server 101 retrieves the "medical department", "equipment set name", "equipment set type (model)", and "shape of each instrument" included in the record of the equipment set information 1501 specified in S301. , “sterilization method”, “sterilizer”, and “indicator type” are acquired as equipment set information and stored in the records of the sterilization management table 1504 shown in FIG. 15 . Then, the server 101 stores the identification information read in S302 in the "identification information of the identification information section of the indicator for packaging" of the record.

Next, the reading device 107 photographs the discolored portion 1201 and the identification information portion 1202 for the inside of the package of the unused chemical indicator 1205 to be used for sterilization. The chemical indicator 1205 to be photographed here is a chemical indicator placed in a cold spot in the sterilization chamber of a sterilizer, for example, a chemical indicator used in a PCD (process challenge device). (It is not intended to be placed inside the packaging material 1401 or attached to the outside of the packaging material 1401.)
The reading device 107 then transmits the captured image to the client terminal 106 . When the client terminal 106 acquires the image, it transmits the image to the server 101 . When acquiring the image, the server 101 reads and acquires the color value (color value) of the discolored portion of the image and the identification information recorded in the identification information section 1202 (S308).

Then, similarly to S303, the server 101 determines whether the color value (color value) of the discolored portion acquired in S308 is the color value (specified value (predetermined value)) of the initial color of the unused discolored portion 1201. By determining whether the initial color of the discolored portion 1201 satisfies the specified value, it is determined (S309).

The server 101 determines that the color value (color value) of the discolored portion acquired in S308 is the color value (specified value (predetermined value)) of the initial color of the unused discolored portion 1201 (the initial color of the discolored portion is the specified value). is satisfied) (S309: YES), the process proceeds to S311. If it is determined that the color value of the color is not the specified value (predetermined value) (the initial color of the discolored portion does not satisfy the specified value) (S309: NO), the process proceeds to S310.

In S310, the server 101 outputs an alert to the client terminal 106 indicating that the initial color of the discolored portion does not meet the specified value. Specifically, the server 101 causes the client terminal 106 to display an indication that the initial color of the discolored portion does not meet the specified value (S310). Alert screen 0 (1600) shown in FIG. 16 is an example of the alert screen displayed on the client terminal 106 in S310. Then, the process returns to S308.

The server 101 determines in S311 whether or not the chemical indicator whose identification information has been read in S308 is the indicator of the sterilization method corresponding to the instrument set selected in S301. Since the specific determination method is the same as that of S305, the description is omitted here.

When the server 101 determines that the chemical indicator whose identification information has been read in S308 is the indicator of the sterilization method corresponding to the equipment set selected in S301 (S311: YES), the process proceeds to S313. On the other hand, if it is determined in S308 that the chemical indicator whose identification information has been read is not the indicator of the sterilization method corresponding to the equipment set selected in S301, the process proceeds to S312.

At S312, the server 101 outputs an alert to the client terminal 106 indicating that the chemical indicator whose identification information was read at S308 is not the indicator of the sterilization method corresponding to the instrument set selected at S301. Specifically, the server 101 causes the client terminal 106 to display alert screen 1 (1601) shown in FIG. 16 (S312). Then, the process returns to S308.

In S313, the server 101 performs a process of associating the identification information of the chemical indicator for cold spots read in S308 with the equipment set information.

Specifically, the server 101 stores the identification information of the chemical indicator for the cold spot read in S308 in the "identification information in the identification information section of the indicator for the cold spot" of the record subjected to the association processing in S306. By doing so, the process of associating the identification information read in S308 with the equipment set information is performed.

Next, the server 101 acquires each data of "assembly method", "placement method in packaging", and "maintenance method" of the record specified in S301. Then, based on the data, the server 101 stores data indicating an assembling method for assembling items constituting each equipment of the equipment set of the type (model) of the equipment set received in S301, and packing the assembled equipment into the package. A screen (1602) including data indicating the placement position and placement method and data indicating the maintenance method of the equipment set is displayed on the client terminal 106 (S314).

A screen 1602 in FIG. 16 is an example of a screen displayed on the client terminal 106 in S314.

Then, the user refers to the screen displayed in S314, assembles the equipment by combining each item, and arranges each equipment in a packaging material such as a sterilization container.

Then, the imaging device 108 photographs each instrument (equipment set) arranged in the sterilization container by photographing the sterilization container in which each instrument is arranged from above before the packaging material is covered. The imaging device 108 transmits the captured image to the client terminal 106 , and the client terminal 106 transmits the image to the server 101 . Then, the server 101 acquires the image from the client terminal 106 (S315).

The server 101 analyzes the image acquired in S315, and identifies the type (model) of the equipment set of each equipment included in the image and the number of equipment included in the image (S316).

Specifically, the server 101 selects, from among the images acquired in S315, the equipment corresponding to (matching) the data (shape information) stored in the "shape of each equipment" in the equipment set information 1501 shown in FIG. is identified, and the number of the identified equipment (the number of equipment) is identified. Then, the server 101 identifies the equipment set type (model) of the identified equipment. For example, the server 101 stores the shape information for each instrument constituting the instrument set in the "shape for each instrument" of the instrument set information 1501 shown in FIG. By specifying the "equipment set type (model)" of the record of "shape", it is possible to specify the type (model) of the equipment set of the specified equipment.

Then, the server 101 determines whether or not the type of equipment set and the number of equipment selected in S301 match the type (model) of the equipment set and the number of equipment specified in S316 ( S317).

Specifically, the server 101 confirms that the number of instruments specified in S316 matches the number of instruments stored in the "number of instruments" of the record specified in S301, and the type of the instrument set specified in S316. (model) matches the data stored in the "equipment set type" (model) of the record specified in S301.

If the server 101 determines that they do not match in S317 (NO), the server 101 outputs an alert to the client terminal 106 to the effect that the types and/or the number of instruments are different (S319).

Specifically, the server 101 causes the client terminal 106 to display an alert screen 2 (1603) shown in FIG. In the example of alert screen 2 (1603), it is displayed that the type (model) and/or the number of equipment sets selected in S301 are different. It is also possible to indicate that the equipment is different from the equipment of the type (model) of the equipment set.

After executing the process of S319, the server 101 returns the process to S301.

If the server 101 determines that they match in S317 (YES), the server 101 outputs (displays) to the client terminal 106 a message indicating that they match in S317 (determination result), and executes the process. Return to S301.

Then, the user puts the inner packaging sheet 1301 cut at the slit 1203 into a packaging material such as a sterilization container, closes the lid of the packaging material, and attaches the outer packaging sheet 1302 to the outer surface of the packaging material. Then, the assembled equipment set is stored as a packaged object to be sterilized.
<Fig. 4>
Next, the processing executed by the server 101 in the sterilization process will be described using the flowchart shown in FIG.

FIG. 4 is a flowchart showing an example of processing executed by the server 101 in the sterilization process.

The processing of each step shown in FIG. 4 is realized by the CPU of the server 101 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

In the sterilization process, when sterilizing the packaged items (equipment set) stored in the assembly area with a sterilizer, to prevent sterilization using a sterilization method that is not compatible with the equipment set. process.

First, the reading device 110 captures an image of the packaging exterior sheet 1302 attached to the outer surface of the packaging material in which the equipment set is packaged, acquires an image including the identification information part 1204 of the packaging exterior sheet 1302, Send to the client terminal 109 . When acquiring the image, the client terminal 109 transmits the image to the server 101, and the server 101 acquires the image.

The server 101 reads the identification information from the identification information portion 1204 included in the image. Then, from the read identification information, the server 101 identifies a sterilization method and/or a sterilizer capable of sterilizing the instrument set and using the chemical indicator of the identification information.

Specifically, the server 101 identifies a record in which part of the read identification information (for example, the leading two-digit number of the identification information) is stored in correspondence with the indicator information 1502 in FIG. do. This specifies the sterilization method and/or the type of sterilizer that can sterilize the instrument set and use the chemical indicator of the identification information (S401).

Next, the user operates the reader 110 to read the sterilizer identification information attached to or displayed on the sterilizer 112 to be used for sterilizing the instrument set. The identification information referred to here is identification information for identifying the sterilization method of the sterilizer and/or the type of sterilizer.

The reading device 110 captures an identification information portion such as a two-dimensional code or a one-dimensional code in which identification information attached to or displayed on the sterilizer 112 is recorded according to the user's operation, and reads the identification information portion. The image containing the image is acquired and transmitted to the client terminal 109 .

When acquiring the image, the client terminal 109 transmits the image to the server 101, and the server 101 acquires the image. The server 101 reads and acquires the identification information of the sterilizer 112 from the identification information section included in the image (S402).

Then, the server 101 determines whether the sterilization method identified by the identification information acquired in S402 is the sterilization method specified in S401 (S403). As a result, it can be determined whether or not the sterilizer to which the identification information acquired in S402 is attached or displayed is the sterilizer of the sterilization method specified in S401.

In S403, the server 101 can also determine whether the type of sterilizer identified by the identification information acquired in S402 is the type of sterilizer identified in S401. That is, it can also be determined whether or not the sterilizer to which the identification information acquired in S402 is attached or displayed is the type of sterilization method specified in S401.

Specifically, the server 101 identifies the sterilization method and sterilizer (type of sterilizer) stored in the sterilizer information 1503 shown in FIG. 15 in correspondence with the identification information acquired in S402. As a result, the sterilization method and sterilizer (type of sterilizer) identified by the identification information acquired in S402 can be specified.

The sterilizer information 1503 shown in FIG. 15 is a data table composed of items of "sterilizer identification information", "sterilization method", "sterilizer", and "indicator type".

"Sterilizer identification information" stores identification information data for identifying the sterilization method of the sterilizer and the sterilizer (type of sterilizer). Data indicating the sterilization method of the identified sterilizer is stored, and "sterilizer" stores the type of sterilizer identified by the identification information. In addition, the "indicator type" stores data indicating the type of indicator that can be used for the sterilization method identified by the identification information and the type of sterilizer.

In S403, the server 101 refers to the sterilizer information 1503 and determines from the identification information acquired in S402 whether the sterilization method specified is the sterilization method specified in S401. In this way, it is determined whether or not the sterilizer to which the identification information acquired in S402 is attached or displayed is the sterilizer of the sterilization method specified in S401.

Alternatively, from the identification information acquired in S402, it is determined whether or not the type of sterilizer specified by referring to the sterilizer information 1503 is the type of sterilizer specified in S401. Thereby, it is determined whether or not the sterilizer to which the identification information acquired in S402 is attached or displayed is the type of sterilization method specified in S401.

Then, the server 101 determines that the sterilization method specified by referring to the sterilizer information 1503 from the identification information acquired in S402 is the sterilization method specified in S401 (the identification information acquired in S402 (S403: YES), or the sterilizer information 1503 is referenced from the identification information acquired in S402. The identified sterilizer type is the sterilizer type identified in S401 (the sterilizer to which the identification information acquired in S402 is attached or displayed is the type of sterilization method identified in S401). Yes) (S403: YES), display (output) on the client terminal 109 that the sterilizer is of a sterilization method corresponding to the packaged object to be sterilized (equipment set), and start the process. Return to S401.

In addition, the server 101 determines that the sterilization method specified by referring to the sterilizer information 1503 from the identification information acquired in S402 is not the sterilization method specified in S401 (the identification information acquired in S402 or the displayed sterilizer is not the sterilizer of the sterilization method specified in S401) (S403: NO), or the sterilizer information 1503 is referenced from the identification information acquired in S402. The identified sterilizer type is not the sterilizer type identified in S401 (the sterilizer to which the identification information acquired in S402 is attached or displayed is the type of sterilization method identified in S401. not) (S403: NO), an alert screen (for example, alert screen 3 (1604 )) is displayed (output) on the client terminal 109 (S404), and the process returns to S402. As a result, it is possible to prevent sterilization by a sterilizer that uses a sterilization method that is not compatible with the instrument set.

Alert screen 3 at 1604 in FIG. 16 is an example of the alert screen output in S404.

In addition, on the alert screen 3 (1604), the sterilization method and the type of sterilizer specified in S401 are displayed as follows: "The sterilization method and sterilizer corresponding to the instrument set in the package are sterilization method A, sterilizer A It is possible to sterilize the packaged instrument set in an appropriate sterilization method and sterilizer.

If it is determined YES in S403 and the client terminal 109 displays (outputs) that the sterilizer has a sterilization method corresponding to the packaged items (equipment set), the user can display (output) the packaged items (equipment set) to be sterilized. set) is placed in the sterilization chamber of the sterilizer 112, and the sterilizer 112 is instructed to start the sterilization process.
<Fig. 5>
Next, the processing executed by the server 101 in the storage process will be described using the flowchart shown in FIG.

FIG. 5 is a flowchart showing an example of processing executed by the server 101 in the storage process.

The processing of each step shown in FIG. 5 is realized by the CPU of the server 101 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

In the storage step, the packaged objects (instrument set) that have been sterilized by the sterilizer 112 are removed from the sterilization chamber of the sterilizer 112 and stored.

First, the server 101 displays (outputs) an alert (for example, alert screen 4 shown in 1605 in FIG. 16) on the client terminal 113 to the effect that predetermined information cannot be acquired (input) (S501).

Here, the predetermined information means a cycle report that satisfies a predetermined condition (a cycle report indicating that sterilization was properly performed), and a color value (color value) of the discolored portion of the indicator that satisfies the threshold value. and a sterilization test result (also referred to as determination result or evaluation result) by BI (biological indicator).

Alert screen 4 indicated by 1605 in FIG. 16 is an example of the alert screen displayed on the client terminal 113 in S501.

Then, the user takes out the cold spot chemical indicator 1205 (used) installed in the sterilization chamber of the sterilizer 112 at the time of sterilization, and the reading device 114 takes an image of the taken out chemical indicator 1205. Then, an image including the identification information portion (either the identification information portion 1202 or the identification information portion 1204) of the chemical indicator and the discolored portion 1201 is acquired.

The reading device 114 then transmits the captured image to the client terminal 113 . The client terminal 113 receives the input of the worker name of the current user (worker), and when acquiring the image, transmits the image and the worker name of the current user (worker) to the server 101 . After acquiring the image and the name of the worker, the server 101 reads and acquires the color value (color value) of the discolored portion of the image and the identification information recorded in the identification information portion (S502).

Then, the server 101 determines whether or not the color value (color value) of the discolored portion 1201 acquired in S502 is a predetermined color value (threshold value) of the used discolored portion 1201. It is determined whether the color value satisfies the threshold (S503). That is, in S503, it is determined whether the color value (color value) of the discolored portion acquired in S502 is a predetermined color value, thereby determining whether the discolored portion is good or not. judge.

When the server 101 determines that the color value (color value) of the discolored portion acquired in S502 is a predetermined color value (threshold value) of the used discolored portion 1201 (discoloration of the discolored portion is good) (S503: YES), the process proceeds to S505. On the other hand, the color value (color value) of the discolored portion obtained in S502 is not the predetermined color value (threshold value) of the used discolored portion 1201 (discolored portion 1201). discoloration of the part is defective) (S503: NO), the process proceeds to S504.

In S504, the server 101 displays (outputs) an alert (for example, alert screen 6 (1607) shown in FIG. 16) indicating that the discoloration of the discolored portion is defective on the client terminal 113. FIG.

As a result, the user can confirm the discoloration failure of the discolored portion of the chemical indicator for cold spots, and it is possible to reduce the possibility that the discolored portion is erroneously judged to be good by the user's visual observation. can be done.

The server 101 also inputs the cycle report output by the sterilizer 112 in S505. As an input method, the sterilizer 112 transmits the cycle report to the server 101 and inputs it to the server 101, or the user takes out a detachable external recording medium in which the cycle report is recorded from the sterilizer 112 and There is a method in which a recording medium is connected to the client terminal 113 and the client terminal 113 transmits the cycle report to the server 101 and inputs it to the server 101 .

Here, the cycle report includes information such as the time when the sterilizer 112 performed the sterilization process (sterilization operation), the contents of the process (process), the atmospheric pressure in the sterilization chamber, the period during which the process was performed, the temperature in the sterilization chamber, and the like. It is a report recorded in chronological order, an example of which is shown in FIG.

FIG. 17 is a diagram showing an example of a cycle report.

The cycle report shown in FIG. 17 also includes the sterilization date, sterilization mode of operation, sterilizer identification information, expiration date of the sterilant used, and serial number of the sterilant, as shown in FIG.

The server 101 determines whether the cycle report input in S505 satisfies a predetermined condition (S506).

Here, the predetermined condition is a condition for judging whether the sterilization process has been completed normally. An example of predetermined conditions is shown in FIG. When the operation mode is soft, the predetermined conditions shown in FIG. Did you do it?" condition.

If it is determined that the cycle report input in S505 satisfies the predetermined conditions (the sterilization process was successfully completed) (S506: YES), the server 101 performs BI (biological indicator ) and the name of the user who confirmed the BI (confirmer name) are received from the client terminal 113 . On the other hand, if it is determined that the cycle report input in S505 does not satisfy the predetermined conditions (the sterilization process was not completed normally), an alert to the effect that the sterilization process was not completed normally is displayed. The data is output (displayed) to the client terminal 113 (S507), and the process returns to S501.

Alert screen 5 (1606) shown in FIG. 16 is an example of the alert displayed on the client terminal 113 in S507.

In S509, the server 101 determines whether or not all of the predetermined information has been acquired. If it is determined that all of the information has been acquired (YES), the alert displayed in S501 (for example, alert screen 4 (1605) ) is erased (S510), and the process proceeds to S511. If it is determined in S509 that all the predetermined information has not been obtained (NO), the server 101 returns the process to S501.

Next, the server 101 stores (1) the cycle report input in S505 in the record of the sterilization management table 1504, including the identification information acquired in S502 (identification information of the identification information part of the chemical indicator for cold spot); (2) Image input in S502 (imaging result of discolored portion), (3) Checker name input in S502, (4) Judgment result (inspection result) of judgment processing in S503, (5) Input in S508 (6) the confirmation person's name (user name) who entered the BI inspection result in S508;

At this time, since the equipment set information has already been stored in the record of the sterilization management table 1504, the equipment set information and the information (1) to (7) are associated and stored. . That is, (1) the data of the cycle report input in S505 is stored in the "cycle report" of the sterilization management table 1504, and (2) the data of the image (imaging result of the discolored portion) input in S502 is stored in the sterilization process. The data of the confirmer name stored in the management table 1504 "imaging result of discolored portion" and input in (3) S502 is stored in the sterilization management table 1504 "indicator A (CI) confirmation person (operator name)". (4) The data of the judgment result (inspection result) of the judgment processing in S503 is stored in the "inspection result of indicator A (CI)" of the sterilization management table 1504, and (5) the BI entered in S508 is stored in the "indicator (BI) inspection result" of the sterilization management table 1504, and (6) the data of the confirmation person (user name) who entered the BI inspection result in S508 is stored in the sterilization management table 1504. The data of (7) the current date (inspection date/sterilization management report creation date) stored in the “indicator (BI) confirmation person” of the table 1504 is stored in the “inspection date/sterilization management report creation date” of the sterilization management table 1504. stored in

Then, the server 101 generates a sterilization management report 1901 (for example, FIG. 19 ) is generated and output.

As shown in FIG. 19, the sterilization management report 1901 includes bibliographic information 1902 including the date of creation of the sterilization management report, the area name at the time of creation, and the name of the operator; instrument set type (model)), information 1905 on chemical indicators for cold spots, information 1907 on BI, and cycle report 1701.

The information 1905 on the chemical indicator for cold spots includes the photographing result 1906 of the discolored portion of the chemical indicator for cold spots, the inspection result of chemical indicator A (CI), the inspection date, and the person who confirmed the indicator A (CI). First name (worker name).

The BI information 1907 includes the inspection result of the indicator (BI), the inspection date, and the name of the person confirming the indicator (BI).

The server 101 displays (outputs) the generated sterilization management report 1901 on the client terminal 113 (S511).

Next, the server 101 adds the identification information (identification information of the identification information part of the chemical indicator for cold spot) acquired in S502 to the record "instrument set location (area)/status" of the sterilization management table 1504. Change the stored data to "Area already sterilized/Sterilization completed". That is, the server 101 sets "already sterilized area" as information indicating the area in which each instrument set is stored in the record of the sterilization management table 1504 that includes the identification information acquired in S502, and indicates that the sterilization process has been completed normally. As information indicating this, "sterilization completed" is registered (updated) in the "instrument set location (area)/status".

After executing the process of S512, the server 101 shifts the process to S501.

In this way, by photographing the chemical indicator after the sterilization by the sterilizer 112 is completed, the equipment set specified from the identification information of the chemical indicator and the discoloration result of the discolored portion of the chemical indicator (the discolored portion of the discolored portion good and bad), the completion result of the sterilization process based on the input cycle report (good and bad of the sterilization process), and the input BI inspection result (good and bad of BI inspection) are associated, and the associated Since the data in the sterilized state is output, the user can easily confirm which instrument set has what kind of sterilization result.
<Fig. 6>
Next, the processing executed by the server 101 in the payout process will be described using the flowchart shown in FIG.

FIG. 6 is a flow chart showing an example of processing executed by the server 101 in the payout step.

The processing of steps S601 to S607 shown in FIG. 6 is realized by the CPU of the server 101 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

The processing of steps S608 and S609 shown in FIG. 6 is realized by the CPU of the surgery management system 122 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

In the delivery step, the worker (user) delivers the stored equipment set to the operating room/surgical preparation room.

First, the server 101 acquires unpaid surgery information (order information) 2001 shown in FIG. 20 stored in a storage means such as a memory of the surgery management system 122 (S601). That is, the information of the record of the surgery information (order information) 2001 in which the item of "dispensing status" is "undispensed" is acquired.

FIG. 20 is a diagram showing an example of surgery information (order information) 2001. As shown in FIG.

As shown in FIG. 20, surgery information (order information) 2001 includes "surgery ID", "patient information", "instrument set name", "instrument set type (model)", "surgery date", "delivery destination (operating room/surgery preparation room)” and “dispensing status”.

The "surgery ID" stores identification information (ID) for identifying the surgery, the "patient information" stores the patient name, and the "instrument set name" stores the instrument set used in the surgery. "Instrument set type (model)" stores data indicating the type (model) of the instrument set used in the surgery. "Destination (Operating room/Surgery preparation room)", the operating room where the surgery is performed, or the surgery preparation room of the operating room is stored. Data indicating whether or not the type (model) has been paid out to the payout destination is stored.

Then, the server 101 displays a screen 2101A (FIG. 21) including the surgery information (order information) 2001 acquired in S601 on the client terminal 116 (S602).

FIG. 21 is a diagram showing an example of surgery information (order information) 2001 displayed on the client terminal 116. As shown in FIG.

Then, the user confirms the screen 2101A including the surgery information (order information) 2001 and confirms the equipment that needs to be delivered. Then, according to the user's operation, the reading device 117 photographs the identification information portion 1204 of the packaging exterior sheet 1302 attached to the outer surface (outside) of the packaging material of the equipment set stored in the storage process. Then, the reading device 110 acquires an image including the identification information portion 1204 and transmits it to the client terminal 109 . When acquiring the image, the client terminal 109 transmits the image to the server 101, and the server 101 acquires the image.

The server 101 reads the identification information from the identification information portion 1204 included in the image. Then, the server 101 identifies the equipment set name and the type (model) of the equipment set stored in the sterilization management table 1504 in correspondence with the read identification information. Then, the server 101 sends only the record including the identified equipment set name and the type (model) of the equipment set out of the surgical information acquired in S601 (currently displayed surgical information on the client terminal 116) to the client. Display on terminal 116 . A screen 2101B in FIG. 21 is an example of a screen displaying only records containing the identified equipment set name and equipment set type (model) on the client terminal 116 .

Then, the client terminal 116 accepts the selection of surgical information to be paid out from the user among one or a plurality of surgical information displayed on the screen 2101B, and transmits information indicating the selected surgical information to the server 101. . Surgery information refers to information for each record of the surgery information (order information) 2001 .

When receiving the information indicating the selected surgery information from the client terminal 116, the server 101 stores the surgery ID of the surgery information (order information) 2001 in the record of the sterilization management table 1504 containing the identification information acquired in S603. By registering in the "Surgery ID", information on the equipment set, identification information of the chemical indicator used in the packaging material, identification information of the chemical indicator for cold spots, each information included in the sterilization management report, and operation information (S605).

Then, the server 101 sets the “instrument set location (area)/status” of the record of the sterilization management table 1504 including the identification information acquired in S603 to data indicating the payout area (e.g., payout area) and the payout area. It is updated and registered as "payout area/payout completed" combined with data indicating that there is (for example, paid out) (S606).

In addition, the server 101 transmits the surgery ID to the surgery management system 122 to request an update of the payment status of surgery information (S607).

When the surgery management system 122 receives the surgery ID (S608), the surgery management system 122 sets the “payment status” of the record of the surgery information (order information) 2001 including the surgery ID to data indicating that the payment has been completed (for example, payment completed ) (S609).

When the user selects surgery information in S604, the packaging material in which the equipment set is packaged is delivered to the delivery destination.

Packaging materials such as sterilization containers are invisible from the outside, but as described above, the external packaging sheet attached to the outer surface (outside) of the packaging material of the equipment set stored in the storage process By reading the identification information in the identification information part 1204 of 1302, the equipment set name and the equipment set type (model) stored corresponding to the identification information (equipment set in the packaging material) are confirmed. You will be able to Further, by reading the identification information, it is possible to easily confirm the payout destination that requires payout, and it becomes easy to efficiently manage the payout status.
<Fig. 7>
Next, the processing executed by the server 101 in the opening process/surgery process will be described using the flowchart shown in FIG.

FIG. 7 is a flowchart showing an example of processing executed by the server 101 in the opening process/surgical process.

The processing of each step shown in FIG. 7 is realized by the CPU of the server 101 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

In the unsealing process/surgical process shown in FIG. 7, the operator (user) opens the packaging material that wraps the dispensed instrument set and confirms the instrument set. It should be noted that this opening process/operation process is a process performed before or during an operation.

First, the user operates the client terminal 119 to issue an instruction to transmit the surgery ID of the surgery to be performed.

The server 101 receives the input of the surgery ID transmitted by the client terminal 119 according to the user's operation (S701).

Then, the user opens the lid of the packaging material in which the dispensed sterilized instrument set is packaged, and takes out the packaging inner sheet 1301 (used). Then, the reading device 120 captures an image of the inner packaging sheet 1301 that has been taken out, and obtains an image including the identification information portion 1202 and the discolored portion 1201 of the inner packaging sheet 1301 .

The reading device 120 then transmits the captured image to the client terminal 119 . When the client terminal 119 acquires the image, it transmits the image to the server 101 . When acquiring the image, the server 101 reads and acquires the color value (color value) of the discolored portion of the image and the identification information recorded in the identification information portion (S702).

Then, the server 101 determines whether or not the color value (color value) of the discolored portion 1201 acquired in S702 is a predetermined color value (threshold value) of the used discolored portion 1201. It is determined whether the color value satisfies the threshold (S703). That is, in S703, it is determined whether the color value (color value) of the discolored portion acquired in S702 is a predetermined color value, thereby determining whether the discolored portion is good or not. judge.

When the server 101 determines that the color value (color value) of the discolored portion acquired in S702 is a predetermined color value (threshold value) of the used discolored portion 1201 (discoloration of the discolored portion is good) (S703: YES), the process proceeds to S705, and on the other hand, the color value (color value) of the discolored portion acquired in S702 is not the predetermined color value (threshold value) of the used discolored portion 1201 (discolored portion discoloration of the part is defective) (S703: NO), the process proceeds to S704.

In S704, the server 101 displays (outputs) an alert (for example, alert screen 6 (1607) shown in FIG. 16) indicating that the discoloration of the discolored portion is defective on the client terminal 119. FIG. Then, the process proceeds to S710.

As a result, the user can confirm the discoloration failure of the discolored portion of the chemical indicator in the package, and it is possible to reduce the possibility that the discolored portion is erroneously judged to be good by the user's visual observation. can.

Then, the server 101 converts the “instrument set location (area)/status” of the record of the sterilization management table 1504 including the identification information acquired in S702 to the surgery information (order information) 2001 corresponding to the surgery ID of the record. Update to "Operating room A / Dispensed" by combining the "dispensing destination" data (e.g. operating room A) registered in the Register (S705).

Then, the imaging device 121 photographs the sterilization container in which the instruments are arranged with the cover of the packaging material opened, from above, thereby photographing the instruments (equipment set) arranged in the sterilization container. The imaging device 121 transmits the captured image to the client terminal 119 , and the client terminal 119 transmits the image to the server 101 . Then, the server 101 acquires the image from the client terminal 119 (S706).

As in S316, the server 101 analyzes the image acquired in S706 to specify the type (model) of the equipment set of each equipment included in the image and the number of equipment included in the image (S707 ).

Specifically, the server 101 selects, from among the images acquired in S706, the equipment that corresponds to (matches) the data (shape information) stored in the "shape of each equipment" in the equipment set information 1501 shown in FIG. is specified, and the number of the specified equipment (the number of equipment) is specified. Then, the server 101 identifies the equipment set type (model) of the identified equipment. For example, the server 101 stores the shape information for each instrument constituting the instrument set in the "shape for each instrument" of the instrument set information 1501 shown in FIG. By specifying the "equipment set type (model)" in the "shape" record, it is possible to specify the type (model) of the equipment set of the specified equipment.

Then, the server 101 stores the type (model) of the instrument set and the number of instruments (equipment set information corresponding to the type (model) of the instrument set) included in the record of the sterilization management table 1504 that includes the identification information acquired in S702. 1501) matches the type (model) of the equipment set specified in S707 and the number of equipment (S708).

If the server 101 determines that they do not match in S708 (NO), the server 101 outputs an alert to the client terminal 106 to the effect that the types and/or the number of instruments are different (S709).

In S709, for example, the server 101 causes the client terminal 106 to display an alert screen 2 (1603) shown in FIG. On the alert screen 2 (1603) displayed in S709, the type (model) and the number of instruments included in the record of the sterilization management table 1504 containing the identification information acquired in S702, and the number of instruments set specified in S707 are displayed. It indicates that the type (model) and the number of instruments are different. Then, the process proceeds to S710.

If the server 101 determines that they match in S708 (YES), the process proceeds to S710.

Then, the server 101 determines whether the processing from S702 to S708 has been executed for the instrument sets of all the records in the sterilization management table 1504 including the surgery ID input in S701, thereby determining whether the next instrument set is processed. (S710). If the server 101 determines that there is a next equipment set (YES), the process proceeds to S702. transition to

The server 101 determines whether or not it has received a device addition instruction transmitted from the client terminal 119 in accordance with the user's operation (S711).

If it is determined that the server 101 has not received the equipment addition instruction from the client terminal 119, the server 101 returns the processing to S701. On the other hand, if it is determined that the addition instruction has been accepted, the process proceeds to S712.

In S708, if it is determined that the type (model) of the equipment set and the number of equipment do not match, additional equipment may be added depending on the situation such as when the equipment is insufficient or the situation of the operation or patient. may occur. Therefore, it is possible to receive additional instructions for equipment.

The user opens the lid of the packaging material in which the additionally used sterilized instrument set is packaged, and takes out the packaging inner sheet 1301 (used). Then, the reading device 120 captures an image of the inner packaging sheet 1301 that has been taken out, and obtains an image including the identification information portion 1202 and the discolored portion 1201 of the inner packaging sheet 1301 .

The reading device 120 then transmits the captured image to the client terminal 119 . When the client terminal 119 acquires the image, it transmits the image to the server 101 . After acquiring the image, the server 101 reads and acquires the color value (color value) of the discolored portion of the image and the identification information recorded in the identification information portion (S712).

Then, the server 101 determines whether or not the color value (color value) of the discolored portion 1201 acquired in S712 is a predetermined color value (threshold value) of the used discolored portion 1201. It is determined whether the color value satisfies the threshold (S713). That is, in S713, it is determined whether the color value (color value) of the discolored portion acquired in S712 is a predetermined color value, thereby determining whether the discolored portion is good or not. judge.

If the server 101 determines that the color value (color value) of the discolored portion acquired in S712 is the predetermined color value (threshold value) of the used discolored portion 1201 (discoloration of the discolored portion is good), (S713: YES), the process proceeds to S714. On the other hand, the color value (color value) of the discolored portion obtained in S712 is not the predetermined color value (threshold value) of the used discolored portion 1201 (discolored portion 1201). discoloration of the part is defective) (S713: NO), the process proceeds to S715.

In S715, the server 101 displays (outputs) an alert (for example, alert screen 6 (1607) shown in FIG. 16) indicating that the discoloration of the discolored portion is defective on the client terminal 119. FIG. Then, the process proceeds to S701.

As a result, the user can confirm the discoloration failure of the discolored portion of the chemical indicator in the package, and it is possible to reduce the possibility that the discolored portion is erroneously judged to be good by the user's visual observation. can.

Next, the server 101 registers the surgery ID input in S701 for the identification information acquired in S712, and associates the surgery information with the identification information (S714).

Specifically, the server 101 inputs in S701 the “surgery ID” of the record of the sterilization management table 1504 that includes the identification information acquired in S712 (identification information of the identification information part of the indicator for packaging). By registering the surgical ID, the information of the instrument set identified by the identification information is associated with the surgical ID of the surgery using the instrument.

Then, the server 101 stores the "instrument set name" of the record in the sterilization management table 1504, which includes the surgery ID input in S701 and the identification information (identification information of the identification information part of the packaging indicator) acquired in S712, and The data of the "equipment set type (model)" and a request for updating the delivery status are sent to the surgery management system 122 to update the delivery status of the surgery information (order information) 2001 (S716). When the surgery management system 122 receives the data and the payment status update request, the surgery management system 122 creates a record of the surgery ID included in the data in the surgery information (order information) 2001, and already registered in the created record. Register the patient name, surgery date, and payout destination of the record of the surgery information (order information) 2001 of the relevant surgery ID, and register the "equipment set name" and "equipment set type ( Model)" data are registered respectively. Also, the data of "paid out" is registered in the "payment status" of the created record.

Then, in the same way as in S705, the server 101 stores the "equipment set location (area/status)" in the record of the sterilization management table 1504, which includes the identification information (identification information of the identification information part of the packaging indicator) acquired in S712. ” is updated to the data registered in S705 (for example, operating room A/dispensed) and registered (S717).

Then, the imaging device 121 photographs the sterilization container in which each device is placed with the lid of the packaging material (the packaging material in which the additional device set is packaged) opened, from above, thereby capturing the additional images arranged in the sterilization container. Each equipment (equipment set) is photographed. The imaging device 121 transmits the captured image to the client terminal 119 , and the client terminal 119 transmits the image to the server 101 . Then, the server 101 acquires the image from the client terminal 119 (S718).

As in S707, the server 101 analyzes the image acquired in S718 and identifies the type (model) of the equipment set of each equipment included in the image and the number of equipment included in the image (S719). ).

Then, the server 101 stores the type (model) of the instrument set and the number of instruments (equipment set information corresponding to the type (model) of the instrument set) included in the record of the sterilization management table 1504 that includes the identification information acquired in S712. 1501) matches the type (model) of the equipment set specified in S707 and the number of equipment (S720).

If the server 101 determines that they do not match in S720 (NO), the server 101 outputs an alert to the client terminal 106 to the effect that the types and/or the number of instruments are different (S721).

In S721, for example, the server 101 causes the client terminal 106 to display an alert screen 2 (1603) shown in FIG. On the alert screen 2 (1603) displayed in S721, the type (model) and the number of instruments included in the record of the sterilization management table 1504 containing the identification information acquired in S712, and the number of instruments set identified in S719. It indicates that the type (model) and the number of instruments are different. Then, the process proceeds to S701.

If the server 101 determines that they match in S720 (YES), the process proceeds to S701.
<Fig. 8>
Next, the processing executed by the server 101 in the opening process/surgery process will be described using the flowchart shown in FIG.

FIG. 8 is a flowchart showing an example of processing executed by the server 101 in the opening process/surgical process.

The processing of each step shown in FIG. 8 is realized by the CPU of the server 101 loading a program stored in storage means such as an external memory into the RAM and executing the program.

The unsealing process/surgical process shown in FIG. 8 is a process of confirming the type of instrument set used in the surgery and the number of instruments after surgery. In addition, this unsealing process and an operation process are processes performed after an operation.

First, the user operates the client terminal 119 to instruct transmission of the surgery ID of the surgery performed.

The server 101 receives the input of the surgery ID transmitted by the client terminal 119 according to the user's operation (S801).

The imaging device 121 images each instrument (equipment set) used in the surgery. The imaging device 121 transmits the captured image to the client terminal 119 , and the client terminal 119 transmits the image to the server 101 . Then, the server 101 acquires the image from the client terminal 119 (S802).

As in S316, the server 101 analyzes the image acquired in S802 and identifies the type (model) of the equipment set of each equipment included in the image and the number of equipment included in the image (S803). ).

Then, the server 101 acquires the type (model) of the instrument set and the number of instruments (pertinent The number of instruments stored in the instrument set information 1501 corresponding to the type (model) of the instrument set matches the type (model) of the instrument set and the number of instruments specified in S803. Determine (S804).

If the server 101 determines that they do not match in S804 (NO), the server 101 outputs an alert to the client terminal 106 to the effect that the types and/or the number of instruments are different (S806).

In S806, for example, the server 101 causes the client terminal 106 to display an alert screen 2 (1603) shown in FIG. On the alert screen 2 (1603) displayed in S806, the type (model) of the instrument set included in the record of the sterilization management table 1504 including the operation ID input in S801 (or the identification information obtained in S702 or S712) is displayed. , and the number of instruments are different from the type (model) of the instrument set specified in S707 and the number of instruments. Then, the process proceeds to S801.

If the server 101 determines that they match in S804 (YES), the process proceeds to S805.

Then, the server 101 determines whether or not the processing of S802 to S804 has been executed for the instrument sets of all records in the sterilization management table 1504 including the surgery ID input in S801, thereby obtaining the next instrument set. (S805). If the server 101 determines that there is a next equipment set (YES), the process proceeds to S802. transition to
<Fig. 9>
Next, the processing executed by the server 101 in the collection process will be described using the flowchart shown in FIG.

FIG. 9 is a flowchart showing an example of processing executed by the server 101 in the collection process.

The processing of each step shown in FIG. 9 is realized by the CPU of the server 101 loading a program stored in a storage means such as an external memory into the RAM and executing the program.

The recovery step shown in FIG. 9 is a step of recovering the instrument set used in the surgery from the operating room/surgical preparation room and confirming the type of the instrument set and the number of instruments.

The reading device 103 captures an image of the inner packaging sheet 1301 taken out by the user from the packaging material of the equipment set used in the surgery, and obtains an image including the identification information part 1202 of the inner packaging sheet 1301. .

The reading device 103 then transmits the captured image to the client terminal 102 . When the client terminal 102 acquires the image, the client terminal 102 transmits the image to the server 101 . When acquiring the image, the server 101 reads and acquires the identification information recorded in the identification information section in the image (S901).

When the server 101 acquires the identification information from the client terminal 102, the server 101 sets the "location (area)/status of the equipment set" of the record of the sterilization management table 1504 including the identification information acquired in S901 to the status of the collected equipment set. Data indicating that it is a central material room that is a collection room (for example, central material room) and data indicating that it has been collected (for example, collected) are updated and registered (S902).

Then, the imaging device 104 photographs the equipment set used for the surgery. The imaging device 104 transmits the captured image to the client terminal 102 , and the client terminal 102 transmits the image to the server 101 . Then, the server 101 acquires the image from the client terminal 102 (S903).

As in S316, the server 101 analyzes the image acquired in S903 and identifies the type (model) of the equipment set of each equipment included in the image and the number of equipment included in the image (S904). ).

Specifically, the server 101 selects, from among the images acquired in S903, the equipment that corresponds to (matches) the data (shape information) stored in the "shape of each equipment" in the equipment set information 1501 shown in FIG. is specified, and the number of the specified equipment (the number of equipment) is specified. Then, the server 101 identifies the equipment set type (model) of the identified equipment. For example, the server 101 stores the shape information for each instrument constituting the instrument set in the "shape for each instrument" of the instrument set information 1501 shown in FIG. By specifying the "equipment set type (model)" in the "shape" record, it is possible to specify the type (model) of the equipment set of the specified equipment.

Then, the server 101 stores the type (model) of the instrument set and the number of instruments (equipment set information corresponding to the type (model) of the instrument set) included in the record of the sterilization management table 1504 that includes the identification information acquired in S901. 1501) matches the type (model) of the equipment set specified in S904 and the number of equipment (S905).

If the server 101 determines that they do not match in S905 (NO), the server 101 outputs an alert to the client terminal 106 to the effect that the types and/or the number of instruments are different (S907).

In S907, for example, the server 101 causes the client terminal 106 to display an alert screen 2 (1603) shown in FIG. On the alert screen 2 (1603) displayed in S907, the type (model) and the number of instruments included in the record of the sterilization management table 1504 containing the identification information acquired in S901, and the number of instruments set specified in S904 are displayed. It indicates that the type (model) and the number of instruments are different. Then, the process proceeds to S901.

If the server 101 determines that they match in S905 (YES), the process proceeds to S906.

Then, the server 101 receives an instruction as to whether or not there is a next equipment set from the client terminal 102, and determines whether or not there is a next equipment set based on the received information (S906). ). If the server 101 determines that there is a next equipment set (YES), the process proceeds to S903. transition to
<Fig. 10>
Next, the process of outputting (displaying) a sterilization management report by the server 101 in response to a request from each client terminal will be described with reference to the flowchart shown in FIG.

FIG. 10 is a flow chart showing an example of processing for the server 101 to output (display) a sterilization management report in response to a request from each client terminal.

The processing of each step shown in FIG. 10 is implemented by the CPU of the server 101 loading a program stored in storage means such as an external memory into the RAM and executing the program.

First, when the client terminal receives an output request for a sterilization management report and an input of identification information recorded in the operation ID or the identification information section (either of 1202 or 1204) of the chemical indicator, the operation An ID or the identification information and an output request for a sterilization management report are transmitted to the server 101 .

Here, the client terminal is any one of client terminals 102 , 106 , 109 , 112 , 116 , and 119 .

When the server 101 receives the surgery ID or the identification information and the output request for the sterilization management report from the client terminal (S1001), the record of the sterilization management table 1504 including the surgery ID or the identification information is specified. to obtain the information contained in the record.

Then, the server 101 generates a sterilization management report (eg, FIG. 19) based on the acquired information, and outputs (transmits) it for display on the client terminal (S1002).

Upon receiving the sterilization management report, the client terminal displays the sterilization management report on the display unit.

As a result, any client terminal can display a sterilization management report for an instrument set specified based on the identification information recorded in the identification information section (one of 1202 and 1204) of the chemical indicator. It becomes possible to easily confirm the sterilization status of the set.

As described above, according to the present invention, it is possible to reduce the use of incorrect indicators by the user.

The present invention can be embodied as, for example, a system, device, method, program, recording medium, or the like. Specifically, it may be applied to a system composed of a plurality of devices, or may be applied to an apparatus composed of a single device.

Further, the program according to the present invention is a program that allows a computer to execute the processing method of the illustrated flowchart, and the storage medium of the present invention stores the program that enables the computer to execute the processing method. Note that the program in the present invention may be a program for each processing method of each device.

As described above, a recording medium recording a program for realizing the functions of the above-described embodiments is supplied to a system or device, and the computer (or CPU or MPU) of the system or device reads the program stored in the recording medium. Needless to say, the object of the present invention can also be achieved by reading and executing.

In this case, the program itself read from the recording medium implements the novel functions of the present invention, and the recording medium recording the program constitutes the present invention.

Examples of recording media for supplying programs include flexible disks, hard disks, optical disks, magneto-optical disks, CD-ROMs, CD-Rs, DVD-ROMs, magnetic tapes, non-volatile memory cards, ROMs, EEPROMs, silicon A disk or the like can be used.

Further, by executing the program read by the computer, not only the functions of the above-described embodiments are realized, but also based on the instructions of the program, the OS (operating system) and the like running on the computer are actually executed. Needless to say, a case where part or all of the processing is performed and the functions of the above-described embodiments are realized by the processing are included.

Furthermore, after the program read from the recording medium is written in the memory provided in the function expansion board inserted into the computer or the function expansion unit connected to the computer, the function expansion board is read according to the instruction of the program code. It goes without saying that a case where a CPU or the like provided in a function expansion unit performs part or all of the actual processing and the functions of the above-described embodiments are realized by the processing.

Moreover, the present invention may be applied to a system composed of a plurality of devices or to an apparatus composed of a single device. Further, it goes without saying that the present invention can be applied to the case where it is achieved by supplying a program to a system or device. In this case, by loading a recording medium storing a program for achieving the present invention into the system or device, the system or device can enjoy the effects of the present invention.

Furthermore, by downloading and reading out the program for achieving the present invention from a server, database, etc. on the network using a communication program, the system or device can enjoy the effects of the present invention. It should be noted that all configurations obtained by combining each of the above-described embodiments and modifications thereof are also included in the present invention.

101 server 102 client terminal 103 reader 104 imaging device 105 washing machine 106 client terminal 107 reader 108 imaging device 109 client terminal 110 reader 112 sterilizer 113 client terminal 114 reader 116 client terminal 117 reader 118 imaging device 119 client terminal 120 reading device 121 imaging device

Claims (5)

a receiving means for receiving the type of object to be sterilized;
reading means for reading the identification information recorded in the indicator relating to sterilization;
output means for outputting an alert when the indicator identified by the identification information read by the reading means is not the indicator of the sterilization method corresponding to the type of the object to be sterilized received by the receiving means;
An information processing system comprising: determining means for determining whether the indicator identified by the identification information read by the reading means is an indicator of a sterilization method corresponding to the type of the object to be sterilized received by the receiving means;
The output means is determined by the determining means that the indicator identified by the identification information read by the reading means is not the indicator of the sterilization method corresponding to the type of the object to be sterilized received by the receiving means. 2. The information processing system according to claim 1, wherein an alert is output when a The reading means reads the color value of the color change portion of the indicator that changes color due to the sterilization gas,
3. An information processing system according to claim 1, further comprising initial color output means for outputting an alert when the color value read by said reading means is not a prescribed value for initial color. a receiving step of receiving the type of object to be sterilized;
a reading step of reading the identification information recorded in the indicator relating to sterilization;
an output step of outputting an alert when the indicator identified by the identification information read in the reading step is not the indicator of the sterilization method corresponding to the type of the object to be sterilized received in the receiving step;
A control method for an information processing system characterized by comprising A program for causing a computer to function as the information processing system according to any one of claims 1 to 3.

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