JP7358050B2 - Information processing system, its control method, and program - Google Patents

Description

The present invention relates to an information processing system, its control method, and program, and particularly relates to a technique for associating information regarding sterilization of an object to be sterilized with surgical information regarding a surgery using the object to be sterilized.

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

Additionally, Patent Document 2 discloses a chemical indicator that includes a barcode identification mark 71 for identifying the sterilization device 12.

Japanese Unexamined Patent Publication No. 7-178106 JP2007-307088A

Conventionally, for example, what equipment (objects to be sterilized) is used in which surgery, how the equipment is sterilized in which sterilizer and what sterilization method is used, and what are the results after sterilization? Users were unable to know who had checked the indicator.

Therefore, an object of the present invention is to provide a mechanism for associating information regarding sterilization of an object to be sterilized with surgical information regarding a surgery using the object to be sterilized.

The present invention provides a reading means for reading an object to be sterilized and first specific information for specifying information related to sterilization of the object to be sterilized, a receiving means for receiving selection of surgical information regarding surgery, and a reading means for reading by the reading means. and an association means for associating the first identification information of the chemical indicator used in the packaging material of the object to be sterilized with the surgical information selected by the reception means, wherein the chemical indicator It is characterized by having a discoloration part that changes color due to sterilization, and an identification information part including a code indicating the first specific information .

According to the present invention, information regarding sterilization of an object to be sterilized can be associated with surgical information regarding a surgery using the object to be sterilized.

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 the hardware configuration of an information processing apparatus applicable to the server 101, the surgery management system 122, and the client terminals 102, 106, 109, 113, 116, and 119 shown in FIG. 1. FIG. It is a flowchart showing an example of processing executed by the server 101 in the assembly/packaging process. It is a flowchart showing an example of processing executed by the server 101 in a sterilization process. 5 is a flowchart illustrating an example of processing executed by the server 101 in a storage process. It is a flowchart which shows an example of the process which the server 101 performs in a payout process. It is a flowchart showing an example of a process executed by the server 101 in an unsealing process/surgery process. It is a flowchart showing an example of a process executed by the server 101 in an unsealing process/surgery process. 7 is a flowchart illustrating an example of processing executed by the server 101 in a collection process. 2 is a flowchart illustrating an example of a process in which the server 101 outputs (displays) 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. 12 is a diagram showing an example of a chemical indicator 1205. FIG. 13(A) is an example of the chemical indicator 1205 before cutting at the cut 1203, and FIG. 13(B) is an example of the chemical indicator 1205 after cutting at the cut 1203. FIG. 14(A) is an example of the packaging material 1401 containing the equipment set and the sheet 1301 for inside the packaging, and FIG. 14(B) is an example of the packaging material 1401 containing the equipment set and the packaging interior sheet 1301. This is an example of a diagram in which a lid is placed on the container and an outer packaging sheet 1302 is attached to the lid. 5 is a diagram showing an example of a data table stored in a storage means such as an external memory of the server 101. FIG. 16 is a diagram showing an example of each alert screen (1600, 1601, 1603 to 1607), and a display screen (1602) showing how to assemble and maintain equipment, and how to place an equipment set in a package. FIG. It is a figure showing an example of a cycle report. FIG. 3 is a diagram showing an example of predetermined conditions. An example of a sterilization management report 1901 is shown. FIG. 2 is a diagram showing an example of surgical information (order information) 2001. 3 is a diagram showing an example of surgical information (order information) 2001 displayed on the client terminal 116. FIG.

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

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

The information processing system shown in FIG. 1 is a system that includes client terminals (102, 106, 109, 113, 116, 119) installed in a hospital, a server 101, and a surgery management system 122. The server 101 and the surgical management system 122 may be installed within a hospital.

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

As shown in FIG. 1, the hospital is equipped with a central material room, cleaning room, assembly area, sterilization area, sterilized area, dispensing area, and operating room/surgery preparation room. Here, the explanation will be made assuming that the assembly area and the sterilization area are in the same room, and the sterilized area and the dispensing area are in the same room.

A client terminal 102, a reading device 103 communicably connected to the client terminal 102, and an imaging device 104 communicably connected to the client terminal 102 are installed in the central material room. The reading device 103 is a device that photographs and reads identification information portions (1202, 1204) and a discolored portion 1201 of an indicator (chemical indicator 1205) to be described later. That is, the reading device 103 is an imaging device that photographs the identification information portions (1202, 1204) and the discolored portion 1201 to obtain an image thereof. 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 of the image, transmits the information together with the image to the client terminal 102, and the client terminal 102 sends 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 to perform similar processing.

The identification information section (1202, 1204) is, for example, a code such as a one-dimensional code or a two-dimensional code. The 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 ultimately functions as information for identifying the object to be sterilized. Chemical indicators are also simply referred to as CI. Further, the imaging device 104 is a digital camera.

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

The cleaning room is a room in which a worker (user) disassembles the equipment confirmed in the central material room into each item and washes each item using the washing machine 105. The process in the cleaning room is called the cleaning process.

The assembly area is an area where a worker (user) assembles each item cleaned by the washing machine 105 into equipment, sets the set of equipment in a packaging material such as a sterilized container, and packages it. 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, and the client terminal 106 is communicably connected to the reading device 107 and the imaging device 108.

The sterilization area is an area where a worker (user) sterilizes the equipment set assembled and packaged in the assembly area by putting it into the sterilization chamber of the sterilizer 112. Therefore, the process in the sterilization area is called the sterilization process.

The sterilization area includes a reader 110 and a client terminal 109, and the client terminal 109 is communicably connected to the reader 110.

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

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

The sterilized area includes a reader 114 and a client terminal 113, and the client terminal 113 is communicably connected to the reader 114.

The delivery area is an area where the operator (user) delivers the stored equipment set to the operating room/surgery preparation room. Therefore, the process in the payout area is called a 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.

In the operating room/surgery preparation room, an operator (user) opens the packaging material wrapping the dispensed equipment set, checks the equipment set, and uses the equipment set in the surgery. Therefore, the process in the operating room/surgery preparation room is called the unpacking process/surgery 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 communicably connected to the reading device 120 and the imaging device 121.

Equipment sets used in the operating room/surgery preparation room are collected in the central material room.

Each client terminal (102, 106, 109, 113, 116, 119), sterilizer 112, and cleaning machine 105 are connected to the server 101 so that they can communicate with each other, and the server 101 and the surgical management system 122 are connected to each other so that they can 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 management procedure (flow) of the equipment or equipment set to be sterilized is the collection process, cleaning process, assembly/packaging process, sterilization process, storage process, dispensing process, and opening/surgery 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 the 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.

As shown in FIG. 2, the information processing device has 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 centrally 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 a BIOS (Basic Input/Output System) or an OS (Operating System), which are control programs executed by the CPU 201, and a computer readable and executable program for realizing the present information processing method. and holds various necessary data (including data tables).

The RAM 202 functions as the main memory, work area, etc. of the CPU 201. The CPU 201 loads necessary programs and the like from the ROM 203 or the external memory 211 into the RAM 202 when executing processing, and executes the loaded programs to realize various operations.

An input controller 205 controls input from an input device 209 (input device). Examples of the input device 209 include a keyboard, a touch panel, and a pointing device such as a mouse.

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

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

Video controller 206 controls display on an external output device such as display device 210. The display shall also include the display of a notebook computer that is integrated with the main body. Note that the external output device is not limited to a display, but may be a projector, for example. Furthermore, an input device 209 is provided for devices that can accept the above-mentioned touch operation.

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

Memory controller 207 controls access to external memory 211. As the external memory, memory such as an external storage device (hard disk) or a flexible disk (FD) that stores boot programs, various applications, font data, user files, editing files, various data, etc. can be used.

The communication I/F controller 208 connects and communicates with external devices via a network, and executes communication control processing on the network. For example, communication using TCP/IP, Wi-Fi, 3G line, and LTE line is possible.

Note that 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 processing performed by the communication terminal in this embodiment.

Note that the CPU 201 enables display on the display device 210 by, for example, executing an outline font development (rasterization) process in a display information area in the RAM 202. Further, the CPU 201 allows the user to give 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. 3.

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 it.

First, in the cleaning process, a user takes out from the washer 105 each item constituting each instrument of the equipment set that has been cleaned by the washer 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.

The equipment set selection screen 1101 includes a pulldown 1102 for selecting a medical department, the name of the equipment set used in the medical department selected in the pulldown 1102, the type (model) of the equipment set, and the number of equipment constituting the equipment set. This is a screen that displays a display column 1103 to be displayed.

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

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

When the server 101 receives the equipment set name, equipment set type (model), and number of equipment selected by the user through the display field 1103 from the client terminal 106, the server 101 displays the received equipment set name, equipment set type (model), and the number of equipment selected by the user. model) and the record of equipment set information 1501 stored corresponding to the number of equipment (S301).

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

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

The equipment set information 1501 includes "medical department", "equipment set name", "type (model) of equipment set", "number of equipment", "assembly method", "placement in packaging", and "maintenance method". , "shape of each instrument," "sterilization method," "sterilizer," and "type of indicator," and these items are stored in association with each other. This "Clinical Department" stores data indicating the medical department, and the "Equipment Set Name" stores data on the name of the equipment set. Further, in the "type (model) of equipment set", 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, "Assembly method" stores data indicating the assembly method for assembling the items that make up the equipment to make the equipment, and "How to place the assembled equipment in the package" stores data indicating the assembly method for assembling the items that make up the equipment. Data indicating where and how to place it is stored.

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

Next, the reading device 107 photographs the discolored portion 1201 of the packaging interior sheet 1301 and the packaging interior identification information portion 1202 of an unused chemical indicator 1205 to be used for sterilization. The chemical indicator 1205 to be photographed here is a chemical indicator 1205 that is composed of a packaging interior sheet 1301 that is placed inside the packaging material 1401 and a packaging exterior sheet 1302 that is attached to the outside of the packaging material 1401. The reading device 107 then transmits the captured image to the client terminal 106. Upon acquiring the image, the client terminal 106 transmits the image to the server 101. When the server 101 acquires 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 (S302).

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

Here, the configuration of the chemical indicator 1205 will be explained using FIG. 12.

The chemical indicator 1205 has a cut 1203 between a sheet 1301 for the inside of the package and a sheet 1302 for the outside of the package, and is formed as one sheet. This cut 1203 makes it easier for the user to separate the sheet 1301 for the inside of the package and the sheet 1302 for the outside of the package by cutting at the cut 1203.

The sheet 1301 for the inside of the package is a sheet having on its surface a discoloration part 1201 that changes color with a sterilization gas for sterilizing an object to be sterilized, such as an equipment set, and an identification information part 1202. A sheet placed inside a packaging material (such as a sterile container, also simply referred to as a container) for packaging. The color changing portion 1201 changes color when it comes into contact with a sterilization gas for sterilizing objects to be sterilized.

Further, the packaging exterior sheet 1302 is a sheet having an identification information section 124 on its surface, and is a sheet placed outside the packaging material for packaging the object to be sterilized. Here, the term "external" refers to a position outside the packaging material, although inside the sterilization chamber of the sterilizer. For example, since the back surface of the packaging exterior sheet 1302 includes an adhesive portion 1207 coated with an adhesive, it can be attached to the exterior surface of the packaging material, for example. This makes it difficult to remove the outer packaging sheet 1302 from the packaging material, and makes it difficult to mistake the correspondence between the packaging material and the outer packaging sheet 1302.

Further, 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.

Further, as shown in FIG. 15, the back surface of the sheet 1301 for inside the package is a non-adhesive part 1206 that does not have an adhesive part. This makes it easier to sterilize the back side of the packaging inner sheet 1301 inside the packaging material using a sterilizer.

In the example of FIG. 15, the back surface of the sheet 1301 for inside the package is a non-adhesive portion 1206, but an adhesive portion may be provided in the non-adhesive portion 1206.

As shown in FIG. 13, the user cuts the chemical indicator 1205 at the cut 1203 and divides it into a sheet 1301 for the inside of the package and a sheet 1302 for the outside of the package.

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

Then, as shown in FIG. 14, the user inserts the package interior sheet 1301 cut at the cuts 1203 into the packaging material 1401 along with the equipment set (for example, a set of equipment A, equipment B, and equipment C). Then, the packaging outer sheet 1302 is attached to the outer surface of the packaging material 1401.

FIG. 14A is an example of a diagram in which a packaging material 1401 includes an equipment set and a packaging inner sheet 1301. Moreover, FIG. 14(B) is an example of a diagram in which a packaging material 1401 containing an equipment set and a sheet 1301 for the inside of the package is covered with a lid, and a sheet 1302 for the outside of the package is attached to the lid.

Returning to the explanation of FIG. 3.

The server 101 determines whether the color value (chromatic value) of the discolored portion acquired in S302 is the color value (standard value (predetermined value)) of the initial color of the unused discolored portion 1201. It is determined whether the initial color of the color changing section 1201 satisfies a specified value (S303).

The server 101 determines that the color value (chromatic value) of the discolored part acquired in S302 is the color value (default value (predetermined value)) of the initial color of the unused discolored part 1201 (the initial color of the discolored part is the default value). (S303: YES), the process moves to S305, and on the other hand, the color value (color value) of the discolored portion acquired in S302 is the initial value of the unused discolored portion 1201. If it is determined that the color value of the color is not the standard value (predetermined value) (the initial color of the discolored portion does not meet the standard value) (S303: NO), the process moves 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 a message indicating 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 an alert screen displayed on the client terminal 106 in S304. Then, the process returns to S302.

In S305, the server 101 determines whether the chemical indicator whose identification information was read in S302 is an indicator of a sterilization method corresponding to the equipment set selected in S301.

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

For example, the server 101 identifies a record in which a part of the identification information read in S302 (for example, the first two digits of the identification information) is stored in correspondence with the indicator information 1502 in FIG. 15. This specifies the sterilization method, sterilizer, or type of indicator that can use the indicator identified by the identification information read in S302.

Indicator information 1502 in FIG. 15 includes items such as "part of identification information of identification information section", "sterilization method", "sterilizer", and "type of indicator".

"Part of identification information in identification information section" stores part of the identification information (for example, the first two digits of the identification information). Part of this identification information is information that identifies the sterilization method, sterilizer, or type of indicator that can use the indicator. In addition, "sterilization method" stores data indicating a sterilization method that can use the indicator identified by the identification information. Furthermore, "sterilizer" stores data indicating a sterilizer that can use the indicator identified by the identification information. Moreover, in the "type of indicator", data indicating the type of indicator that can use the indicator identified by the identification information is stored. Indicator information 1502 in FIG. 15 is stored in a storage means such as the external memory 211 of the server 101.

Next, the server 101 displays the sterilization method, sterilizer, and indicator type stored in the equipment set information 1501 in FIG. 15, corresponding to the equipment set name and equipment set type (model) selected in S301. Identify.

The server 101 then displays the type of indicator 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 type (model) of the indicator is the same as the type (model) of the indicator, the chemical indicator whose identification information was read in S302 is an indicator of the sterilization method corresponding to the equipment set selected in S301. Determine whether or not.

Further, for example, if the equipment set information 1501 does not have the items "sterilizer" and "type of indicator", the server 101 stores the equipment set name and the type (model) of the equipment set selected in S301. Corresponding to this, the sterilization method stored in the equipment set information 1501 of FIG. 15 is specified, and the type of indicator stored in the indicator information 1502 is specified corresponding to the sterilization method. Further, the server 101 identifies the type of indicator for which part of the identification information read in S302 corresponds to the indicator information 1502 and is stored. Then, by determining whether the types of these indicators match, the server 101 determines whether the chemical indicator whose identification information was read in S302 is an indicator of the sterilization method corresponding to the equipment set selected in S301. Determine whether or not.

If it is determined that the chemical indicator whose identification information was read in S302 is an indicator of the sterilization method corresponding to the equipment set selected in S301 (S305: YES), the server 101 shifts the process to S306. However, if it is determined in S305 that the chemical indicator whose identification information was read in S302 is not an indicator of the sterilization method corresponding to the equipment set selected in S301, the process moves 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 an indicator of the sterilization method corresponding to the equipment set selected in S301. Specifically, the server 101 displays alert screen 1 (1601) shown in FIG. 16 on the client terminal 106 (S307). Then, the process returns to S302.

In S306, the server 101 performs a process of associating the identification information read in S302 with the equipment set information.

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

Next, the reading device 107 photographs the discolored portion 1201 of the packaging interior sheet 1301 and the packaging interior identification information portion 1202 of an 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, and is, 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. Upon acquiring the image, the client terminal 106 transmits the image to the server 101. When the server 101 acquires 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 (chromatic value) of the discolored portion acquired in S308 is the color value (standard value (predetermined value)) of the initial color of the unused discolored portion 1201. By determining whether or not the initial color of the discoloration portion 1201 satisfies the specified value (S309).

The server 101 determines that the color value (color value) of the discolored part acquired in S308 is the color value (default value (predetermined value)) of the initial color of the unused discolored part 1201 (the initial color of the discolored part is the default value). (S309: YES), the process moves to S311, and on the other hand, the color value (color value) of the discolored portion acquired in S308 is the initial value of the unused discolored portion 1201. If it is determined that the color value of the color is not the standard value (predetermined value) (the initial color of the discolored portion does not satisfy the standard value) (S309: NO), the process moves 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 a message indicating 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 an alert screen displayed on the client terminal 106 in S310. Then, the process returns to S308.

In S311, the server 101 determines whether the chemical indicator whose identification information was read in S308 is an indicator of a sterilization method corresponding to the equipment set selected in S301. The specific determination method is the same as that in S305, so the explanation will be omitted here.

If it is determined that the chemical indicator whose identification information was read in S308 is an indicator of the sterilization method corresponding to the equipment set selected in S301 (S311: YES), the server 101 shifts the process to S313. On the other hand, if it is determined that the chemical indicator whose identification information was read in S308 is not an indicator of the sterilization method corresponding to the equipment set selected in S301, the process moves to S312.

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

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

Specifically, the server 101 stores the identification information of the chemical indicator for cold spots read in S308 in the "identification information of the identification information section of the indicator for cold spots" of the record that underwent the association process 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 in packaging", and "maintenance method" of the record specified in S301. Based on the data, the server 101 generates data indicating an assembly method for assembling each item of the equipment set of the type (model) of the equipment set received in S301, and stores the assembled equipment in the package. A screen (1602) including data indicating the placement position and placement method and data indicating the maintenance method for 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, combines each item to assemble the equipment, and places each equipment in a packaging material such as a sterilized container.

Then, the imaging device 108 photographs each instrument (equipment set) arranged in the sterilized container by photographing the sterilized container in which each instrument is arranged from above, before the packaging material is covered. The imaging device 108 transmits the photographed 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 the equipment that corresponds to (matches) the data (shape information) stored in the "shape for each equipment" of the equipment set information 1501 shown in FIG. 15 from among the images acquired in S315. and the number of the identified equipment (number of equipment). Then, the server 101 identifies the type (model) of the equipment set of the identified equipment. For example, the server 101 stores shape information for each piece of equipment constituting the equipment set in the 'shape of each piece of equipment' section of the equipment set information 1501 shown in FIG. By specifying the "equipment set type (model)" of the "shape" record, it is possible to specify the equipment set type (model) of the identified equipment.

Then, the server 101 determines whether the type and number of equipment sets whose selection was accepted in S301 match the type (model) of the equipment set and the number of equipment identified in S316 ( S317).

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

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

Specifically, the server 101 displays alert screen 2 (1603) shown in FIG. 16 on the client terminal 106. In the example of alert screen 2 (1603), it is displayed that the type (model) and/or number of equipment sets selected in S301 are different, but the equipment placed on the packaging material is different from the one selected in S301. It is also possible to display that the type (model) of the equipment set is different from the equipment set.

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

If it is determined that they match in S317 (YES), the server 101 outputs (displays) to the client terminal 106 that it has been determined that they match in S317 (determination result), and executes the process. Return to S301.

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

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 using a sterilizer to sterilize packaged items to be sterilized (equipment sets) stored in the assembly area, to prevent them from being sterilized using a sterilizer with a sterilization method that is not compatible with the equipment set. Execute the process.

First, the reading device 110 photographs the outer packaging 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 outer packaging sheet 1302, and It is transmitted to the client terminal 109. When the client terminal 109 acquires the image, it transmits the image to the server 101, and the server 101 acquires the image.

The server 101 reads identification information from the identification information section 1204 included in the image. Then, the server 101 identifies, from the read identification information, a sterilization method and/or a sterilizer that can sterilize the equipment set and use the chemical indicator of the identification information.

Specifically, the server 101 identifies a record in which a part of the read identification information (for example, the first two digits of the identification information) is stored in correspondence with the indicator information 1502 in FIG. do. Thereby, the sterilization method and/or type of sterilizer that can sterilize the equipment set and use the chemical indicator of the identification information is specified (S401).

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

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

When the client terminal 109 acquires the image, it transmits it 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). Thereby, it can be determined whether 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 specified in S401. That is, it can also be determined whether the sterilizer to which the identification information acquired in S402 is attached or displayed uses 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 response to the identification information acquired in S402. Thereby, the sterilization method and sterilizer (type of sterilizer) identified by the identification information acquired in S402 can be specified.

Sterilizer information 1503 shown in FIG. 15 is a data table that includes items such as "sterilizer identification information," "sterilization method," "sterilizer," and "indicator type."

"Sterilizer identification information" stores data on the sterilization method of the sterilizer and identification information for identifying 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. Further, in the "type of indicator", data indicating the type of indicator that can be used for the sterilization method identified by the identification information and the type of sterilizer is stored.

In S403, the server 101 determines from the identification information acquired in S402 whether the sterilization method specified by referring to the sterilizer information 1503 is the sterilization method specified in S401. In this way, it is determined whether 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, it is determined from the identification information acquired in S402 whether 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 the sterilizer to which the identification information acquired in S402 is attached or displayed uses the type of sterilization method specified in S401.

Then, the server 101 determines from the identification information acquired in S402 that the sterilization method specified by referring to the sterilizer information 1503 is the sterilization method specified in S401 (the identification information acquired in S402 is attached). or the displayed sterilizer is a sterilizer of the sterilization method specified in S401 (S403: YES), or based on the identification information acquired in S402, referring to the sterilizer information 1503. The type of sterilizer specified is the type of sterilizer specified in S401 (the sterilizer with the identification information acquired in S402 or displayed is the type of sterilizer specified in S401) (S403: YES), the client terminal 109 displays (outputs) that the sterilizer uses the sterilization method that corresponds to the packaged object to be sterilized (equipment set), and then performs the process. Return to S401.

Further, the server 101 determines from the identification information acquired in S402 that the sterilization method specified by referring to the sterilizer information 1503 is not the sterilization method specified in S401 (the identification information acquired in S402 is attached). (or the displayed sterilizer is not a sterilizer of the sterilization method specified in S401) (S403: NO), or from the identification information acquired in S402, referring to the sterilizer information 1503. The type of sterilizer specified is not the type of sterilizer specified in S401 (the sterilizer with the identification information acquired in S402 or displayed is not the type of sterilizer specified in S401) (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. This can prevent sterilization using a sterilizer that uses a sterilization method that is not compatible with the equipment set.

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

In addition, the alert screen 3 (1604) displays the sterilization method and sterilizer type specified in S401 as ``The sterilization method and sterilizer corresponding to the equipment set in the packaging material are sterilization method A and sterilizer A. The packaged equipment set can be sterilized using an appropriate sterilization method and by placing it in a sterilizer.

If YES is determined in S403 and the sterilizer is displayed (outputted) on the client terminal 109 to the effect that the sterilizer uses the sterilization method that corresponds to the packaged object to be sterilized (equipment set), the user set) into the sterilization chamber of the sterilizer 112, and instructs the sterilizer 112 to start sterilization processing.
<Figure 5>
Next, the process 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 it.

In the storage process, the packaged items to be sterilized (instrument set) that have been sterilized in the sterilizer 112 are taken out of the sterilization chamber of the sterilizer 112 and stored.

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

Here, the predetermined information refers to a cycle report that satisfies predetermined conditions (a cycle report that indicates that sterilization processing was properly performed), and that the color value (color value) of the discolored part of the indicator satisfies the threshold value. and sterilization test results (also referred to as determination results or evaluation results) using BI (biological indicators).

Alert screen 4 shown at 1605 in FIG. 16 is an example of an alert screen displayed on client terminal 113 in S501.

Then, the user takes out the cold spot chemical indicator 1205 (used) that was installed in the sterilization chamber of the sterilizer 112 during sterilization, and the reading device 114 photographs the taken out chemical indicator 1205. Then, an image including the identification information section (either the identification information section 1202 or the identification information section 1204) of the chemical indicator and the discolored section 1201 is obtained.

The reading device 114 then transmits the photographed image to the client terminal 113. The client terminal 113 accepts the input of the worker name of the current user (worker), and upon acquiring the image, transmits the image and the worker name of the current user (worker) to the server 101 . When the server 101 acquires the image and the worker's name, 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 (S502).

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

When the server 101 determines that the color value (chromatic value) of the discolored part acquired in S502 is a predetermined color value (threshold value) of the used discolored part 1201 (the discoloration of the discolored part is good) (S503: YES), the process moves to S505, and on the other hand, if the color value (chromatic value) of the discolored part acquired in S502 is not the predetermined color value (threshold value) of the used discolored part 1201 (discolored If it is determined that the discoloration of the part is defective (S503: NO), the process moves to S504.

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

As a result, the user can confirm whether the discolored part of the chemical indicator for cold spots is defective in discoloration, and it is possible to reduce the possibility of the user mistakenly determining that the discolored part is good due to visual inspection. I can do it.

Further, in S505, the server 101 inputs the cycle report output by the sterilizer 112. The input method is that the sterilizer 112 sends the cycle report to the server 101 and inputs it into the server 101, or the user takes out a removable external recording medium on which the cycle report is recorded from the sterilizer 112 and inputs the cycle report to the server 101. There is a method in which a recording medium is connected to the client terminal 113, and the client terminal 113 transmits a cycle report to the server 101 and inputs it into the server 101.

Here, the cycle report includes information such as the time when the sterilizer 112 performed sterilization processing (sterilization operation), processing contents (process), atmospheric pressure in the sterilization chamber, period during which the process was performed, and temperature in the sterilization chamber. This 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.

As shown in FIG. 17, the cycle report shown in FIG. 17 also includes the sterilization date when the sterilization process was performed, the sterilization operation mode, the identification information of the sterilizer, the expiration date of the sterilizing agent used, and the manufacturing number of the sterilizing agent.

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

Here, the predetermined conditions are conditions for determining whether the sterilization process has been completed normally. An example of the predetermined conditions is shown in FIG. When the operation mode is soft, the predetermined conditions shown in Figure 18 are: "Did the atmospheric pressure reduce to 0.15 Torr within 2 minutes during the vacuum process?" and "Did the atmospheric pressure reach 75 Torr or more within 6 minutes during the sterilization process?" "Did you do that?"

If it is determined that the cycle report input in S505 satisfies the predetermined conditions (the sterilization process has been successfully completed) (S506: YES), the server 101 displays a BI (biological indicator) in S508. ) 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 meet the predetermined conditions (the sterilization process was not completed normally), an alert to the effect that the sterilization process was not completed normally is sent. It 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 an alert displayed on the client terminal 113 in S507.

In S509, the server 101 determines whether all of the predetermined information has been acquired. If it is determined that all of the predetermined information has been acquired (YES), the server 101 displays the alert displayed in S501 (for example, alert screen 4 (1605)). ) is deleted (S510), and the process proceeds to S511. Further, if it is determined in S509 that all the predetermined information has not been acquired (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, which includes the identification information acquired in S502 (the identification information of the identification information section of the chemical indicator for cold spots); (2) Image input in S502 (photographing result of discolored area), (3) Verifier name input in S502, (4) Judgment result (inspection result) of the judgment process in S503, (5) Input in S508 BI test results (6) The name of the confirmer (user name) who input the BI test results in S508 (7) The current date (test date/sterilization management report creation date) are recorded in association with each other.

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) will be stored in association with each other. . 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 (photographing result of the discolored part) input in S502 is stored in the sterilization management table 1504. The data of the name of the confirmer stored in the “photographing result of discolored area” of the management table 1504 and input in (3) S502 is the “confirmer of indicator A (CI) (operator name)” of the sterilization management table 1504. (4) The data of the judgment result (inspection result) of the judgment process of S503 is stored in the “indicator A (CI) inspection result” of the sterilization management table 1504, and (5) the data of the BI input in S508 The data of the test results are stored in the "indicator (BI) test results" of the sterilization management table 1504, and the data of the name of the confirmer (user name) who entered the BI test results in (6) S508 is stored in the sterilization management table 1504. The data of (7) current date (inspection date/sterilization management report creation date) is stored in "Indicator (BI) confirmation person" in table 1504, and the data of (7) current date (inspection date/sterilization management report creation date) is stored in "inspection date/sterilization management report creation date" in sterilization management table 1504. is memorized.

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

As shown in FIG. 19, the sterilization management report 1901 includes bibliographic information 1902 including the sterilization management report creation date, area name at the time of creation, and operator name, a medical department 1903, and an equipment set list 1904 (equipment set name, The type of equipment set (model)), information 1905 regarding chemical indicators for cold spots, information 1907 regarding BI, and cycle report 1701 are included.

Information 1905 regarding the chemical indicator for cold spots includes photographic results 1906 of the discolored part of the chemical indicator for cold spots, the test results of chemical indicator A (CI), the test date, and the person who confirmed the indicator A (CI). (worker name).

Further, the information 1907 regarding BI includes the inspection result of the indicator (BI), the inspection date, and the name of the person who confirmed the indicator (BI).

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

Next, the server 101 enters the "location (area)/status of equipment set" in the record of the sterilization management table 1504, which includes the identification information acquired in S502 (the identification information of the identification information section of the chemical indicator for cold spots). Change the stored data to "Sterilized Area/Sterilization Completed". That is, the server 101 uses "already sterilized area" as information indicating the area where each equipment set in the record of the sterilization management table 1504 including the identification information acquired in S502 is stored, and also indicates whether the sterilization process has been successfully completed. As information indicating this, "sterilization complete" is registered (updated) in "location (area)/status of equipment set".

After executing the process in S512, the server 101 moves the process to S501.

In this way, by photographing the chemical indicator after 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 part of the chemical indicator (discoloration of the discolored part The results of the sterilization process based on the input cycle report (the quality of the sterilization process) are associated with the input BI inspection results (the quality of the BI inspection). Since the data is output in the current state, the user can easily confirm which equipment set has been sterilized and what kind of sterilization results have been obtained.
<Figure 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 flowchart showing an example of a process executed by the server 101 in the payout process.

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 it.

Further, the processing in 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 it.

In the delivery process, the operator (user) delivers the stored equipment set to the operating room/surgery preparation room.

First, the server 101 acquires, from the surgery management system 122, the 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 surgical information (order information) 2001 in which the item "dispensing status" is "undisbursed" is acquired.

FIG. 20 is a diagram showing an example of surgical information (order information) 2001.

As shown in FIG. 20, the surgery information (order information) 2001 includes "surgery ID", "patient information", "instrument set name", "type of equipment set (model)", "surgery date", "delivery destination It consists of the following items: (operating room/surgery preparation room), and dispensing status.

"Surgery ID" stores identification information (ID) for identifying the surgery, "Patient information" stores the patient name, and "Equipment set name" stores the equipment set used in the surgery. The name of the equipment set is stored, the "Type of equipment set (model)" stores data indicating the type (model) of the equipment set used in the surgery, and the "Date of surgery" stores data indicating the type (model) of the equipment set used in the surgery. The date on which the procedure will be performed is memorized, the "dispatch destination (operating room/surgery preparation room)", the operating room where the surgery will be performed, or the surgical preparation room of the operating room is stored, and the "dispatch status" shows the information of the equipment set. Data indicating whether the type (model) has already been paid out to the payout destination is stored.

Then, the server 101 displays a screen 2101A (FIG. 21) including the surgical 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.

The user then checks the screen 2101A that includes surgical information (order information) 2001 and confirms the equipment that needs to be dispensed. Then, in accordance with the user's operation, the reading device 117 photographs the identification information portion 1204 of the packaging exterior sheet 1302 affixed to the outer surface (outside) of the packaging material of the equipment set stored in the storage process. The reading device 110 then acquires an image including the identification information section 1204 and transmits it to the client terminal 109. When the client terminal 109 acquires the image, it transmits the image to the server 101, and the server 101 acquires the image.

The server 101 reads identification information from the identification information section 1204 included in the image (S603). Here, the identification information is an application example of the first specific information, and is information for specifying an object to be sterilized and information regarding sterilization of the object. Further, S603 is an application example of a reading means, and reads the first specific information. 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 accordance with the read identification information. Then, the server 101 transfers only the record including the identified equipment set name and type (model) of the equipment set to the client out of the surgical information acquired in S601 (the surgical information currently being displayed on the client terminal 116). It is displayed on the terminal 116. A screen 2101B in FIG. 21 is an example of a screen in which only records including the identified equipment set name and equipment set type (model) are displayed on the client terminal 116.

Then, the client terminal 116 receives the user's selection of surgical information to be dispensed from among the one or more pieces of surgical information displayed on the screen 2101B, and transmits information indicating the selected surgical information to the server 101. . The surgical information refers to information for each record of the surgical information (order information) 2001.

When the server 101 receives information indicating the selected surgery information from the client terminal 116 (S604), the server 101 stores the surgery ID of the surgery information (order information) 2001 in the sterilization management table 1504 that includes the identification information acquired in S603. By registering in the "Surgery ID" of the record, 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, and each information included in the sterilization management report can be obtained. and the surgical information (S605). S604 is an application example of the receiving means, and receives selection of surgical information regarding surgery. Further, S605 is an application example of the association means, and the first specific information read in S603 is associated with the surgical information whose selection was accepted in S604.

Then, the server 101 converts the “location (area)/status of equipment set” of the record in the sterilization management table 1504 that includes the identification information acquired in S603 to data indicating the dispensing area (for example, dispensing area) and whether the dispensing has been completed or not. It is updated and registered as "Payout Area/Payout Already" which is a combination of data indicating that there is (for example, Payout Already) (S606).

Further, the server 101 sends the surgery ID to the surgery management system 122 to request an update of the delivery status of the surgery information (S607).

When the surgery management system 122 receives the surgery ID (S608), the surgery management system 122 changes the "disbursement status" of the record of the surgery information (order information) 2001 that includes the surgery ID to data indicating that the surgery has been disbursed (for example, disbursed ) (S609).

When the user selects surgical information in S604, the user dispenses the packaging material in which the equipment set is wrapped to the destination.

The inside of packaging materials such as sterile containers cannot be seen from the outside, but as mentioned above, there is a sheet for the outside of the packaging that is affixed to the outside surface (outside) of the packaging material of the equipment set stored during the storage process. By reading the identification information in the identification information section 1204 of 1302, the equipment set name and the equipment set type (model) of the equipment set (the equipment set inside the packaging material) stored corresponding to the identification information can be confirmed. You will be able to do this. Furthermore, by reading the identification information, it is possible to easily confirm the payout destination that requires payout, and it becomes easier to efficiently manage the payout status.
<Figure 7>
Next, the process 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 illustrating an example of a process executed by the server 101 in the unsealing process/surgery 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 it.

In the unsealing step/surgery step shown in FIG. 7, the operator (user) opens the packaging material wrapping the dispensed equipment set and confirms the equipment set. Note that this unsealing step/surgery step is a step performed before or during surgery.

First, the user operates the client terminal 119 to instruct the transmission of 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 equipment set is packaged, and takes out the packaging inner sheet 1301 (used). Then, the reading device 120 photographs the taken-out package interior sheet 1301 and obtains an image including the identification information section 1202 and the discolored section 1201 of the package interior sheet 1301.

The reading device 120 then transmits the captured image to the client terminal 119. Upon acquiring the image, the client terminal 119 transmits the image to the server 101. When the server 101 acquires 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 (S702).

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

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

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

This allows the user to check for defective discoloration of the discolored part of the chemical indicator inside the package, and it is possible to reduce the possibility of the user mistakenly determining that the discolored part of the discolored part is good due to visual inspection. can.

Then, the server 101 updates the "location (area)/status of equipment set" of the record in the sterilization management table 1504 that includes the identification information acquired in S702 to the surgical information (order information) 2001 corresponding to the surgical ID of the record. Update the "Operating Room A/Disbursed" data that is a combination of the "Disbursement Destination" data (for example, Operating Room A) registered in Register (S705).

Then, the imaging device 121 photographs each instrument (equipment set) arranged in the sterilized container by photographing the sterilized container in which each instrument is arranged, with the lid of the packaging material open, from above. 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).

Similarly to S316, the server 101 analyzes the image acquired in S706 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 (S707 ).

Specifically, the server 101 selects the equipment that corresponds to (matches) the data (shape information) stored in the "shape for each equipment" of the equipment set information 1501 shown in FIG. 15 from among the images acquired in S706. and the number of the identified equipment (number of equipment). Then, the server 101 identifies the type (model) of the equipment set of the identified equipment. For example, the server 101 stores shape information for each piece of equipment constituting the equipment set in the 'shape of each piece of equipment' section of the equipment set information 1501 shown in FIG. By specifying the "equipment set type (model)" of the "shape" record, it is possible to specify the equipment set type (model) of the identified equipment.

The server 101 then displays the equipment set information corresponding to the type (model) of the equipment set and the number of equipment (corresponding to the type (model) of the equipment set) included in the record of the sterilization management table 1504 including the identification information acquired in S702. 1501), the type (model) of the equipment set specified in S707, and the number of equipment (S708).

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

In S709, for example, the server 101 displays alert screen 2 (1603) shown in FIG. 16 on the client terminal 106. The alert screen 2 (1603) displayed in S709 displays the type (model) and number of equipment sets included in the record of the sterilization management table 1504 that includes the identification information acquired in S702, and the equipment set identified in S707. Display that the type (model) and number of equipment are different. Then, the process moves to S710.

Further, if it is determined in S708 that they match (YES), the server 101 moves the process to S710.

Then, the server 101 determines whether the processing from S702 to S708 has been executed for the equipment sets of all records in the sterilization management table 1504, including the surgery ID input in S701, and then selects the next equipment set. It is determined whether or not there is (S710). If the server 101 determines that there is the next equipment set (YES), the process proceeds to S702; on the other hand, if it determines that there is no next equipment set (NO), the process proceeds to S711. to move to.

The server 101 determines whether or not it has received an instruction to add equipment 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 an instruction to add equipment from the client terminal 119, the process returns to S701. On the other hand, if it is determined that the additional instruction has been accepted, the process moves to S712.

If it is determined in S708 that the type (model) of the equipment set and the number of equipment do not match, additional equipment may be required depending on the situation such as insufficient equipment or the situation of the surgery or patient. may occur. For this reason, we are now able to accept additional instructions for equipment.

The user opens the lid of the packaging material in which the sterilized equipment set to be additionally used is packaged, and takes out the packaging inner sheet 1301 (used). Then, the reading device 120 photographs the taken-out package interior sheet 1301 and obtains an image including the identification information section 1202 and the discolored section 1201 of the package interior sheet 1301.

The reading device 120 then transmits the captured image to the client terminal 119. Upon acquiring the image, the client terminal 119 transmits the image to the server 101. When the server 101 acquires 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 (S712).

Then, the server 101 determines whether the color value (chromatic value) of the discolored portion acquired in S712 is a predetermined color value (threshold value) of the used discolored portion 1201. It is determined whether the color value satisfies a threshold value (S713). That is, in S713, it is determined whether the color value (chromatic value) of the discolored part acquired in S712 is a predetermined color value, thereby determining whether the discoloration of the discolored part is good or poor. Determine.

When the server 101 determines that the color value (chromatic value) of the discolored part acquired in S712 is a predetermined color value (threshold value) of the used discolored part 1201 (the discoloration of the discolored part is good) (S713: YES), the process moves to S714, and on the other hand, if the color value (chromatic value) of the discolored part acquired in S712 is not the predetermined color value (threshold value) of the used discolored part 1201 (discolored If it is determined that the discoloration of the portion is defective (S713: NO), the process moves to S715.

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

This allows the user to check for defective discoloration of the discolored part of the chemical indicator inside the package, and it is possible to reduce the possibility of the user mistakenly determining that the discolored part of the discolored part is good due to visual inspection. can.

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

Specifically, the server 101 inputs the information input in S701 to the "surgery ID" of the record in the sterilization management table 1504, which includes the identification information acquired in S712 (identification information in the identification information section of the packaging indicator). The surgery ID is registered, and the information on the equipment set identified by the identification information is associated with the surgery ID of the surgery using the equipment.

Then, the server 101 saves the "equipment set name" of the record in the sterilization management table 1504, including the surgery ID input in S701, the identification information acquired in S712 (identification information in the identification information section of the packaging indicator), and The data on the "type of equipment set (model)" and a request to update the dispensing status are sent to the surgery management system 122 to update the dispensing status of the surgical information (order information) 2001 (S716). When the surgery management system 122 receives the data and the update request for the dispensing status, it creates a record of the surgery ID included in the data in the surgery information (order information) 2001, and registers the information already registered in the created record. Register the patient name, surgery date, and delivery destination in the surgery information (order information) 2001 record for the surgery ID that has been received, and enter the "equipment set name" and "type of equipment set ( model)” data. Furthermore, the data of "paid out" is registered in the "paid out status" of the created record.

Then, similar to S705, the server 101 displays the "Equipment set location (area/status)" in the record of the sterilization management table 1504, which includes the identification information acquired in S712 (identification information of the identification information section of the packaging indicator). ” is updated and registered with the data registered in S705 (for example, operating room A/discharged) (S717).

The imaging device 121 then photographs the sterilized container in which each instrument is placed, with the lid of the packaging material (the packaging material in which the additional equipment set is packaged) opened, from above, and the additional equipment placed in the sterilized container. Photograph each piece of equipment (equipment set). 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).

Similar to 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 ).

The server 101 then displays the equipment set information corresponding to the type (model) of the equipment set and the number of equipment (corresponding to the type (model) of the equipment set) included in the record of the sterilization management table 1504 including the identification information acquired in S712. 1501), the type (model) of the equipment set specified in S707, and the number of equipment (S720).

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

In S721, for example, the server 101 displays alert screen 2 (1603) shown in FIG. 16 on the client terminal 106. The alert screen 2 (1603) displayed in S721 displays the type (model) and number of equipment sets included in the record of the sterilization management table 1504 that includes the identification information acquired in S712, and the equipment set identified in S719. Display that the type (model) and number of equipment are different. Then, the process moves to S701.

Further, if it is determined in S720 that they match (YES), the server 101 moves the process to S701.
<Figure 8>
Next, the process executed by the server 101 in the opening process/surgery process will be described using the flowchart shown in FIG. 8.

FIG. 8 is a flowchart illustrating an example of a process executed by the server 101 in the unsealing process/surgery process.

The processing of each step shown in FIG. 8 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 it.

The unsealing step/surgery step shown in FIG. 8 is a step of confirming the type of equipment set used in the surgery and the number of equipment after the surgery. Note that the main unsealing step/surgery step is a step performed after surgery.

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 photographs each instrument (instrument 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).

Similarly to 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 determines the type (model) of the equipment set and the number of equipment (the relevant Check whether the number of equipment stored in the equipment set information 1501 corresponding to the type (model) of the equipment set matches the type (model) of the equipment set and the number of equipment identified in S803. Determination is made (S804).

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

In S806, for example, the server 101 displays alert screen 2 (1603) shown in FIG. 16 on the client terminal 106. On the alert screen 2 (1603) displayed in S806, the type (model) of the equipment set included in the record of the sterilization management table 1504 that includes the surgery ID input in S801 (or the identification information acquired in S702 or S712) , and the number of equipment are different from the type (model) of the equipment set specified in S707 and the number of equipment. Then, the process moves to S801.

Further, if it is determined in S804 that they match (YES), the server 101 moves the process to S805.

Then, the server 101 determines whether the processing from S802 to S804 has been executed for the equipment sets of all records in the sterilization management table 1504, including the surgery ID input in S801, and then selects the next equipment set. It is determined whether or not there is (S805). If the server 101 determines that there is the next equipment set (YES), the process proceeds to S802; on the other hand, if it determines that there is no next equipment set (NO), the server 101 moves the process to S801. to move to.
<Figure 9>
Next, the process 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 it.

In the collection process shown in FIG. 9, the equipment set used in the surgery is collected from the operating room/surgery preparation room, and the type of the equipment set and the number of equipment are confirmed.

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

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

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

The imaging device 104 then photographs the equipment set used in 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).

Similar to 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 the equipment that corresponds to (matches) the data (shape information) stored in the "shape for each equipment" of the equipment set information 1501 shown in FIG. 15 from among the images acquired in S903. and the number of the identified equipment (number of equipment). Then, the server 101 identifies the type (model) of the equipment set of the identified equipment. For example, the server 101 stores shape information for each piece of equipment constituting the equipment set in the 'shape of each piece of equipment' section of the equipment set information 1501 shown in FIG. By specifying the "equipment set type (model)" of the "shape" record, it is possible to specify the equipment set type (model) of the identified equipment.

The server 101 then displays the equipment set information corresponding to the type (model) of the equipment set and the number of equipment (corresponding to the type (model) of the equipment set) included in the record of the sterilization management table 1504 including the identification information acquired in S901. 1501), the type (model) of the equipment set specified in S904, and the number of equipment (S905).

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

In S907, for example, the server 101 displays alert screen 2 (1603) shown in FIG. 16 on the client terminal 106. The alert screen 2 (1603) displayed in S907 displays the type (model) and number of equipment sets included in the record of the sterilization management table 1504 that includes the identification information acquired in S901, and the equipment set identified in S904. Display that the type (model) and number of equipment are different. Then, the process moves to S901.

Further, if it is determined in S905 that they match (YES), the server 101 moves the process to S906.

Then, the server 101 receives an instruction from the client terminal 102 as to whether or not there is a next equipment set, 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 the next equipment set (YES), the process proceeds to S903; on the other hand, if it determines that there is no next equipment set (NO), the process proceeds to S901. to move to.
<Figure 10>
Next, the process by which the server 101 outputs (displays) a sterilization management report in response to requests from each client terminal will be explained using the flowchart shown in FIG.

FIG. 10 is a flowchart showing an example of a process in which the server 101 outputs (displays) a sterilization management report in response to a request from each client terminal.

The processing of each step shown in FIG. 10 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 it.

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

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

When the server 101 receives a request to output the surgery ID or the identification information and a sterilization management report from the client terminal (S1001), the server 101 specifies the record in the sterilization management table 1504 that includes the surgery ID or the identification information. to obtain the information contained in the record. S1001 is an application example of an input means for inputting surgical information such as a surgical ID.

Then, the server 101 generates a sterilization management report (for example, FIG. 19) based on the acquired information, and outputs (sends) the report to be displayed on the client terminal (S1002).

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

As a result, it is possible to display the sterilization management report of the equipment set specified based on the identification information recorded in the identification information section (1202 or 1204) of the chemical indicator on any client terminal. It becomes possible to easily check the sterilization status of the set.

S1002 is an application example of the output means, which outputs information regarding the sterilization of the object to be sterilized and the object to be sterilized, which is specified by the surgical information input in S1001 and the first specific information associated by the association means (S605). Output.

Here, the information regarding the sterilization of the object to be sterilized includes the results of sterilization using the sterilizer that sterilized the object to be sterilized (cycle report 1701), and information regarding the chemical indicator used in the sterilization (information shown in 1905 in FIG. 19). , and information regarding biological indicators (information shown in 1907 in FIG. 19).

As described above, according to the present invention, information regarding sterilization of an object to be sterilized can be associated with surgical information regarding a surgery using the object to be sterilized.

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

Further, the program in 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 a program that allows 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 that implements the functions of the embodiments described above 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. It goes without saying that 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 will realize the novel function of the present invention, and the recording medium on which the program is recorded 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, and silicon A disk or the like can be used.

In addition, by executing a program read by a computer, not only the functions of the above-described embodiments are realized, but also the OS (operating system) etc. running on the computer are realized based on the instructions of the program. It goes without saying that this also includes a case where part or all of the processing is performed and the functions of the embodiments described above are realized by the processing.

Furthermore, after the program read from the recording medium is written into the memory of the function expansion board inserted into the computer or the function expansion unit connected to the computer, the function expansion board It goes without saying that this also includes 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 made up of a plurality of devices, or to a device made up of one device. It goes without saying that the present invention can also be applied to cases where the present invention is achieved by supplying a program to a system or device. In this case, by reading 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.

Further, by downloading and reading a program for achieving the present invention from a server, database, etc. on a network using a communication program, the system or device can enjoy the effects of the present invention. Note that all configurations that are combinations of the above-described embodiments and their modifications are also included in the present invention.

101 Server 102 Client terminal 103 Reading device 104 Imaging device 105 Cleaning machine 106 Client terminal 107 Reading device 108 Imaging device 109 Client terminal 110 Reading device 112 Sterilizer 113 Client terminal 114 Reading device 116 Client terminal 117 Reading device 118 Imaging device 119 Client terminal 120 Reading device 121 Imaging device

Claims (6)

a reading means for reading an object to be sterilized and first specific information for identifying information regarding sterilization of the object to be sterilized;
a reception means for receiving selection of surgical information regarding the surgery;
associating means for associating the first specific information of the chemical indicator used in the packaging material of the object to be sterilized read by the reading means with the surgical information whose selection is accepted by the accepting means;
Equipped with
The information processing system is characterized in that the chemical indicator has a color changing part that changes color due to the sterilization, and an identification information part including a code indicating the first specific information . input means for inputting the surgical information;
output means for outputting information regarding the object to be sterilized and the sterilization of the object to be sterilized, which is specified by the first specific information associated with the surgical information input by the input means;
The information processing system according to claim 1, further comprising: The information regarding the sterilization of the object to be sterilized is information including at least one of the results of sterilization using the sterilizer that sterilized the object to be sterilized, information regarding the chemical indicator used in the sterilization, and information regarding the biological indicator. The information processing system according to claim 1 or 2, characterized in that: The associating means updates a location from which the object to be sterilized, which is specified by the first identifying information, is dispensed when the first identifying information of the chemical indicator is associated with the surgical information. The information processing system according to any one of claims 1 to 3, characterized in that: a reading step of reading first identification information for identifying an object to be sterilized and information regarding sterilization of the object to be sterilized;
a reception process for receiving selection of surgical information regarding the surgery;
an associating step of associating the first specific information of the chemical indicator used in the packaging material of the object to be sterilized read in the reading step with the surgical information selected in the receiving step;
including;
The method for controlling an information processing system, wherein the chemical indicator includes a discoloration part that changes color due to the sterilization, and an identification information part including a code indicating the first specific information . A program for causing a computer to function as the information processing system according to any one of claims 1 to 4.

Images