WO2015087428A1 - Gauze counting system and program - Google Patents

Gauze counting system and program Download PDF

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Publication number
WO2015087428A1
WO2015087428A1 PCT/JP2013/083341 JP2013083341W WO2015087428A1 WO 2015087428 A1 WO2015087428 A1 WO 2015087428A1 JP 2013083341 W JP2013083341 W JP 2013083341W WO 2015087428 A1 WO2015087428 A1 WO 2015087428A1
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WIPO (PCT)
Prior art keywords
gauze
counting
time
identification information
information
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PCT/JP2013/083341
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French (fr)
Japanese (ja)
Inventor
義博 丹
大久保　謙二
幸一 松下
加藤　次郎
Original Assignee
株式会社ホギメディカル
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Priority to PCT/JP2013/083341 priority Critical patent/WO2015087428A1/en
Publication of WO2015087428A1 publication Critical patent/WO2015087428A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0804—Counting number of instruments used; Instrument detectors

Definitions

  • the present invention belongs to the technical field of gauze counting systems and programs, and more specifically, to the technical field of gauze counting systems that count gauze used in surgery and programs for the gauze counting systems.
  • Patent Document 1 only discloses a rough concept of counting gauze wirelessly using an IC tag.
  • each gauze is a sterilized gauze that is used in surgery and maintains a sterilized state (hereinafter referred to as “gauze”).
  • Gauze sterilized state
  • the packaging material for holding the sterilized state is opened, and the gauze (hereinafter referred to as “opened gauze”) placed in the clean field in the operating room, There is gauze (hereinafter referred to as “used gauze”) that is actually used for surgery and soiled.
  • the technique disclosed in Patent Document 1 cannot count gauze in consideration of such various uses and points to be noted.
  • the progress is temporarily stopped during the operation, and the total number of gauze at that time is counted and confirmed.
  • a temporary stop of surgery for gauze counting is commonly referred to as “timeout”.
  • the timing and the number of times of executing the timeout are generally determined as prior arrangements, for example, at a hospital where surgery is performed.
  • a time-out may be performed at the end of the operation, but in addition to that, it is also necessary to check the total number of gauze at that point in time during the operation for the safety management of the operation. Is desirable.
  • no consideration is given to the above-described timeout or similar operation.
  • the present invention has been made in view of the above problems, and the problem is a novel that can confirm at any timing that the count of the gauze for the management is performed during the operation. It is to provide a gauze counting system and a program for the gauze counting system.
  • the invention described in claim 1 is gauze identification information for identifying a gauze for surgery, and identification information such as an IC tag for storing gauze identification information read by radio
  • a gauze counting system that counts gauze each having storage means during the operation, and that reads the gauze identification information stored in the identification information storage means by radio during the surgery.
  • Means a counting means such as an antenna for counting the gauze during the operation based on the read gauze identification information, result information indicating a counting result by the counting means, and a time when the counting is performed.
  • a holding means such as a memory that holds the read time information in association with the time information, and associates the held result information with the time information.
  • a notification means such as a display unit announcement to.
  • the invention described in claim 8 is gauze identification information for identifying a gauze for surgery, and identification information such as an IC tag for storing gauze identification information read by radio
  • a computer included in a gauze counting system that counts gauze each having storage means during the operation, an antenna that reads the gauze identification information stored in the identification information storage means wirelessly during the operation, and the like
  • Reading control means for controlling the reading means, counting means for counting the gauze during the operation based on the read gauze identification information, result information indicating a counting result by the counting means, and the counting is performed.
  • a holding means for holding the information in a readable manner in association with the time information indicating the time, and the held result information
  • Notification control means for controlling the notification means of the display unit or the like to notify in association with the information, to function as a.
  • stored in the identification information storage means of each gauze is read by radio
  • the gauze is counted, and the result information indicating the counting result and the time information indicating the time when the counting is performed are associated with each other, and the information is held so as to be readable and notified. Therefore, by notifying that the result information held in association with the time information can be confirmed, it is possible to confirm at any timing that gauze counting has been performed during the operation.
  • the invention according to claim 2 is the gauze counting system according to claim 1, wherein the time storage such as a memory for storing a preset counting time as the time to perform the counting is provided.
  • the reading means, the counting means, and the holding means read the gauze identification information, count the gauze, hold the result information, and the time information at the counting time during the operation. Configured as follows.
  • the gauze identification information is read, the gauze is counted, and the result information and the time information are retained at a predetermined counting time during the operation. Therefore, by notifying that the result information corresponding to the predetermined counting time can be confirmed, it is possible to confirm later that gauze counting was performed during the operation in relation to the counting time.
  • the time storage means stores a plurality of different counting times
  • the reading means, the counting The means and the holding means respectively read the gauze identification information, count the gauze, and hold the result information and the time information at different counting times during the operation, and the notification means Configured to notify the result information being identifiable.
  • the gauze identification information is read, the gauze is counted, and the result information and the time information are held at different counting times during the operation. Since the result information is identifiable so that it can be identified, the result information corresponding to multiple counting times can be confirmed to confirm that the gauze count has been performed multiple times during the operation. can do.
  • the invention according to claim 4 is the gauze counting system according to claim 2, wherein the reading means, the counting means, and the holding means read the gauze identification information, and Counting the gauze and holding the result information and the time information are performed a plurality of times during the operation, and the notification means can identify each of the held result information and set the time for the counting in advance. It is configured to notify in relation to a set counting time.
  • reading of gauze identification information, counting of gauze, and holding of result information and time information are performed a plurality of times during surgery, Since the retained result information is identifiable and announced in relation to the predetermined counting time, it is later confirmed that the gauze counting was performed several times during the operation in relation to the predetermined counting time. Can be confirmed.
  • the invention according to claim 5 is the gauze counting system according to any one of claims 2 to 4, wherein the reading means, the counting means, and the holding means are The gauze identification information is read, the gauze is counted, and the result information and the time information are held in the counting time during the operation, respectively, and the notification means reads the gauze identification information, It is configured to notify the number of times that the gauze count and the result information and the time information are retained during the operation.
  • the gauze identification information is read at a plurality of counting times during the operation. Counting, result information, and time information are each held, and the number of times the holding or the like is performed during the operation is notified. Therefore, it is possible to immediately confirm the number of times the gauze is counted during the operation.
  • the invention according to claim 6 is the gauze counting system according to any one of claims 1 to 5, wherein the counting result is used for the surgery.
  • Warning means such as a display unit that issues a warning when the number of gauze is equal to or less than a preset reference number is further provided.
  • the invention according to claim 7 is the gauze counting system according to any one of claims 1 to 6, wherein the held result after the operation is completed.
  • the reading means such as a main body device for reading information and the counting result indicated by the read result information are equal to or less than a reference number set in advance corresponding to the total number of the gauze to be used for the surgery
  • Warning means such as a display unit for issuing a warning.
  • the result information is read after the operation is finished, and is indicated by the read result information. Since the warning is issued when the counted result is less than the reference number, it can be quickly recognized after the operation that the counted result is small.
  • the gauze identification information stored in the identification information storage means of each gauze is wirelessly read during the operation, the gauze is counted during the operation based on the read gauze identification information, and the counting result
  • the result information indicating the time and the time information indicating the time at which the counting is performed are associated with each other, and the information is held in a readable manner and notified.
  • FIG. 1 It is a figure which shows the gauze which concerns on embodiment, (a) is the external view, (b) is a figure which illustrates the state of the enclosed gauze. It is a conceptual diagram which shows the structure of the gauze counting system which concerns on embodiment. It is a figure which shows the Example of the count operation
  • (a) is a figure which shows the 1st example
  • (b) is a figure which shows the 2nd example. It is a figure which shows the follow-up function which concerns on embodiment. It is a figure which shows the specific example of the count operation
  • FIG. 1 is a figure which shows the gauze which concerns on embodiment
  • FIG. 2 is a conceptual diagram which shows the structure of the gauze counting system which concerns on embodiment
  • FIG. 3 is a figure which shows the Example of the count operation
  • FIG. 4 is a diagram showing a display example of the result of the counting work.
  • 5 is a diagram illustrating an appearance of the main body device according to the embodiment
  • FIG. 6 is a diagram illustrating an appearance of the checkpoint terminal according to the embodiment
  • FIG. 7 is a diagram illustrating a follow-up function according to the embodiment.
  • It is. 8 to 11 are diagrams respectively showing specific examples of counting work according to an embodiment to be described later.
  • a in each gauze G which concerns on embodiment, an example of the identification information memory
  • the IC tag T is attached by a method such as bonding or sewing.
  • a plurality of gauze G is packaged with a packaging material in a state where they are overlapped with each other, and thereafter, for each packaging material.
  • an operating room which will be described later as a package P, is maintained while maintaining a sterilized state as a gauze G in which the sterilized state is maintained (hereinafter simply referred to as “sterilized holding gauze G”). It is conveyed to.
  • an operating table B in which a patient PT undergoing surgery is laid is installed in the operating room OP, and the area around the operating table B is a so-called clean field AR.
  • the clean field AR refers to a certain area in the operating room OP in which, for example, a surgeon, an instrumentation nurse, and a surgical assistant are allowed to perform activities related to the operation in the operation.
  • the clean field AR is a spatial (three-dimensional) area centered on the operating table B.
  • the area other than the clean field AR in the operation room OP where other nurses who are involved in the operation, that is, so-called external nurses, etc., is called unclean fields.
  • the unclean field here does not mean the “unclean place” in general.
  • the “instrument removal nurse” refers to a task of handing a surgical instrument to a surgeon or the like in the clean field AR, or an opened gauze G (on the instrument table including a table for placing the desktop device 31 described later).
  • it is a nurse who performs a task of sequentially counting surgical instruments including “opened gauze G”.
  • the “surrounding nurse” is a nurse who performs operations other than the work performed by the nurse taking out the instrument, such as the handling operation of the gauze G including the counting of the gauze G according to the embodiment in the unclean field in the operating room OP. A teacher.
  • the gauze counting system S which concerns on embodiment is the main body apparatus 1 as an example of the reading means normally arrange
  • the checkpoint terminal 33 is arranged at a position through which the gauze G inserted into the patient PT passes.
  • the tabletop device 31 includes, for example, a plate-like mounting table on which the unsealed gauze G taken out from the package P in which the sterilization holding gauze G is enclosed is placed. And the gauze identification information memorize
  • the tabletop device 31 itself may be used as a surgical gauze table, or it may be placed on a separate gauze table or instrument table.
  • the count for storing (that is, registering) the gauze identification information read by radio and the gauze identification information are stored and can be identified.
  • the former count is referred to as “memory count” and the latter count is referred to as “confirmation count”.
  • the checkpoint terminal 33 passes through or directly above the checkpoint terminal 33 and is used for the operation of the patient PT (more specifically, for example, the IC tag T of the opened gauze G that is inserted into the patient PT).
  • the gauze identification information stored therein is read wirelessly, and the read gauze identification information is transmitted to the main body device 1 as the gauze information D4 at each reading or at a predetermined timing.
  • the receivable range of the gauze identification information at the checkpoint terminal 33 suffices to be narrower (spatially smaller) than the receivable range of the desktop device 31 in view of the above-mentioned use, for example, a dome shape having a radius of about 10 cm. It is considered as a receivable range.
  • the handy device 30 stores the gauze stored in the IC tag T of the used gauze G (hereinafter simply referred to as “used gauze G”) that has been dropped onto the floor after being actually used for surgery.
  • used gauze G By reading the identification information from the outside of the clean field AR, for example, by radio, the used gauze G that has been dropped is searched for.
  • the used gauze G is often “soiled gauze actually used for surgery” as defined above, but in addition to this, the opened gauze G is not used for surgery, for example. It should be noted that even if the gauze G is dropped on the floor of the operating room OP (that is, moved to the unclean field), the opened gauze G becomes the used gauze G at that time.
  • the handy device 30 searches for the used gauze G in the operating room OP over a wide range, the handy device 30 searches the gauze identification information in a receivable range vertically and horizontally. For example, if the exploration range is set to the entire operating room OP, it can be confirmed whether the used gauze G to be searched is in the operating room first. It is possible to determine whether or not there is a possibility of being taken out of the OP. In this case, the exploration time can be greatly shortened, which is very effective from the viewpoint of hospital management.
  • the search is performed by narrowing the receivable range of the gauze identification information in a beam shape.
  • the exploring medical staff for example, the outside nurse, does not move around in the operating room OP more than necessary, and the exploration time can also be shortened at this time.
  • the main unit 1 includes a first storage unit 12 and a second storage unit 13 separately therein.
  • an antenna 2 and an antenna 3 are provided as an example of a counting unit and an example of a reading unit for reading gauze identification information from the IC tag T, respectively.
  • the sterilization holding gauze G is introduced into the first storage part 12 as, for example, the package P, and the antenna 2 is sterilized holding gauze enclosed in the inserted package P.
  • the memory count of the sterilized retention gauze G is performed.
  • the used gauze G that has been used in the operation and is dirty is inserted into the second storage unit 13 together with the gauze case 32, for example, while being put in the gauze case 32, and the antenna 3 is used.
  • the confirmation count of the used gauze G is performed.
  • the main body device 1 has the presence or absence of the sterile holding gauze G remaining in the first storage unit 12 when the confirmation count is performed. (Or give instructions to ask the nurse to perform the confirmation).
  • the main body device 1 transmits a command to the desktop device 31 to confirm the presence of the unsealed gauze G remaining on the table of the desktop device 31, and the confirmation is made to the desktop device 31. 31 (or give instructions to the nurse to perform the confirmation).
  • the tabletop device 31 receives the gauze identification information of the remaining unsealed gauze G and confirms the count of the remaining unsealed gauze G. Then, the received gauze identification information and the count result are transmitted to the main device 1.
  • the main device 1 receives and stores the gauze information D4 transmitted from the checkpoint terminal 33.
  • the number of used gauze G confirmed and counted in the second storage unit 13 has been transmitted from the desktop device 31 as the number of sterilized holding gauze G stored and counted in the first storage unit 12 and the gauze information D1. From the total number of the opened gauze G stored and counted, in the opened gauze G and the first storage unit 12 on the mounting table of the tabletop device 31 at the time when the confirmation count in the second storage unit 13 is performed. When the total number of the sterilized holding gauze G remaining is less than the result of subtracting, the used gauze G or the like may be left in any position in the operating room OP. .
  • the main device 1 performs gauze identification information read (stored and counted) in the first storage unit 12 and the desktop device 31 at the beginning or in the subsequent remaining confirmation, and the confirmation count in the second storage unit 13.
  • the gauze identification information read in the second storage unit 13 and the difference, that is, the gauze identification information that may be left in the operating room OP without being read in the second storage unit 13.
  • the included gauze information D2 is generated and transmitted to the handy device 30 at a predetermined timing.
  • the gauze information D2 at this time is generated while referring to the gauze identification information transmitted from the checkpoint terminal 33 as the gauze information D4.
  • the handy device 30 searches the operating room OP for the used gauze G including the IC tag T in which the gauze identification information received as the gauze information D2 is stored (or performs the confirmation to the nurse).
  • the external nurse who operates the handy device 30 searches for the used gauze G including the direction of the patient PT in consideration of the possibility that the used gauze G remains in the body of the patient PT.
  • the handy device 30 notifies that fact.
  • the fact that the gauze identification information and the received gauze identification information are transmitted from the handy device 30 to the main device 1 as the gauze information D3, and the main device 1 notifies the contents of the gauze identification information. Also good.
  • the gauze G storing the same gauze identification information is duplicated in these different devices. Even if it has been counted, the number of gauze G is counted as “one sheet”.
  • the gauze identification information of the opened gauze G inserted into the body of the patient PT is read by the checkpoint terminal 33.
  • the gauze identification information is taken out from the body of the patient PT.
  • the gauze identification information of the used gauze G may also be read by the checkpoint terminal 33.
  • the gauze information D4 includes the gauze identification information of the opened gauze G to be inserted and the gauze identification information of the used gauze G taken out from the body.
  • the used gauze G identified by the gauze identification information read by the checkpoint terminal 33 when being taken out from the body of the patient PT is the second storage unit of the main body device 1.
  • the search is performed by the handy device 30 as a search target.
  • the gauze identification information as the opened gauze G is read by the checkpoint terminal 33 when inserted into the body of the patient PT, but the checkpoint is taken out at the stage of taking out the used gauze G from the body of the patient PT.
  • the used gauze G still remains in the body of the patient PT. Therefore, the used gauze G remaining in the body remains.
  • the main body device 1 may be provided with a function of measuring the weight of the finished gauze G or the like.
  • the number of used gauze G reaches the capacity of the gauze holder 32 used for the confirmation counting in the second storage unit 13 or the preset number of used gauze G that can be inserted. Up to this point, the used gauze G can be added and introduced. In this case, however, the weight of the contents (including the used gauze G) in the gauze container 32 may be reduced (that is, the used gauze G absorbed) in the initial stage and the end stage of the operation. This is not preferable in view of keeping accurate surgical records, etc.).
  • the weight of each time is stored, and the latest check count is the same as the previous check count.
  • the gauze holder 32 has used gauze G having a weight from the time of the first confirmation count of the gauze holder 32 to the time of the previous check count (including the liquid soaked in the gauze holder 32).
  • a correction function for correctly measuring the used gauze G and the amount of blood absorbed by the used gauze G may be provided. At that time, if the weight of only the used gauze G is measured in advance and stored in the main device 1, the weight such as the blood volume excluding the weight of the used gauze G can be accurately determined. Is possible.
  • the weight of the contents in the gauze container 32 measured at the second storage unit 13 most recently is measured / stored, and then the used gauze G is added to measure the weight again.
  • the weight of the contents in the gauze container 32 immediately before the addition of a new used gauze G is measured / stored and compared with the previous measurement result, thereby ignoring the error due to the weight reduction.
  • the weight of the used gauze G can be measured each time. Specifically, when measuring / storing the weight of the contents in the second storage unit 13, a lid (described later in FIG. 5) provided in the second storage unit 13 is closed.
  • the sterilization holding gauze G enclosed in the package P and brought into the operating room OP is put into the first storage unit 12 of the main body device 1 and is stored in each IC tag T by the antenna 2. Is read wirelessly, and that number is stored and counted (see S1 in FIG. 2). The gauze identification information and the count result read at this time are stored in the main unit 1. After this, the counted sterile holding gauze G is opened on the gauze table in the clean field AR so that the nurse around the unclean field does not touch the inside of the sterile holding gauze G and the package P. To open gauze G (see S3 in FIG. 2).
  • the sterilized holding gauze G brought into the operating room OP is opened on the table in the clean field AR so that the nurse around the unclean field does not touch the inside of the sterilized holding gauze G and the package P. It may be placed on the mounting table of the device 31 to form an unsealed gauze G (see S2 in FIG. 2).
  • the tabletop device 31 performs a storage count of the opened gauze G that is placed by reading the gauze identification information that is placed and stored in the IC tag T of the opened gauze G. This counting result is transmitted to the main device 1 at a predetermined timing as gauze information D1.
  • the unsealed gauze G developed on the gauze table including the desktop device 31 is used for surgery as necessary (see S4 in FIG. 2).
  • the opened gauze G to be inserted into the body of the patient PT is moved, for example, one by one, passes over the checkpoint terminal 33 and is inserted into the body of the patient PT.
  • 33 reads the gauze identification information stored in the IC tag T and transmits it to the main device 1 as gauze information D4.
  • the used gauze G that has become dirty due to use in surgery is normally put into the gauze case 32 (see S6 in FIG. 2) as shown in FIG. It may be dropped on the floor of the operating room OP as indicated by G2 (see S7 in FIG. 2).
  • the used gauze G put into the gauze case 32 is put into the second storage unit 13 of the main body device 1 together with the gauze case 32, and the gauze identification information stored in each IC tag T by the antenna 3 is stored.
  • the confirmation count of the number is performed by reading by radio
  • the gauze identification information and the count result read at this time are stored in the main unit 1.
  • the number of used gauze G confirmed and counted in the second storage unit 13 corresponding to the operation shown in FIG. 2 code S9 is stored and counted in the first storage unit 12 shown in FIG. From the total number of the retained gauze G and the memory count result (number of unsealed gauze G memorized and counted in the tabletop device 31) transmitted from the tabletop device 31 as the gauze information D1, in the second storage unit 13
  • the confirmation count is performed, the total number of the cases when the unsealed gauze G remains on the table of the tabletop device 31 and when the sterilized holding gauze G remains in the first storage unit 12 is subtracted.
  • the main device 1 If the result is smaller, the main device 1 generates the gauze information D2 while referring to the gauze identification information received as the gauze information D4, and sends it to the handy device 30 at a predetermined timing.
  • the handy device 30 searches the operating room OP for the used gauze G including the IC tag T in which the gauze identification information received as the gauze information D2 is stored.
  • the outside nurse operating the handy device 30 picks up the used gauze G2 that has been dropped, for example, and inserts the gauze based on the notification 32 (see S8 in FIG. 2).
  • the gauze container 32 is again put into the second storage unit 13 of the main body device 1, and the confirmation count is performed on the used gauze G therein.
  • the number of used gauze G for which the confirmation count has been performed in the second storage unit 13 is the tabletop apparatus as the number of the sterilized holding gauze G for which the storage count has been performed in the first storage unit 12 and the gauze information D1.
  • the main body device 1 that wirelessly counts the gauze G stored in the first storage unit 12 and the second storage unit 13 according to the embodiment, and the portable device that wirelessly reads and notifies the gauze identification information of the used gauze G.
  • a series of counting operations that have been performed are not limited to the start of surgery (for example, before the start of anesthesia) and the end of the operation (for example, before abdominal ablation), Depending on the surgical technique, it is desirable for safety management related to gauze G counting to be performed at various timings, such as when performing a specific procedure.
  • the counting work according to the embodiment is required to be executed at various timings in one operation. Therefore, in the gauze counting system S according to the embodiment, a time required for one time-out for counting the gauze G during the operation is set in advance as a “counting time”, and a memory described later of the main body device 1 is used. 18 is recorded.
  • the counting time itself is set in advance according to the manner of the doctor performing the operation, the hospital, or the like, and specifically, for example, 15 minutes.
  • the result of the confirmation counting in the counting operation performed within the immediately preceding counting time is recorded in the memory 18 in a nonvolatile manner, for example, the operation is completed. Repeat until At this time, the result of each confirmation count is stored in association with the counting time when the confirmation count is executed.
  • the memory 18 corresponds to an example of a holding unit and an example of a time storage unit according to the present invention.
  • time T time T1
  • time T2 time T3,...
  • Time T8 time T8
  • time T1 time T2
  • time T3 time T8
  • the memory 18 stores the data indicating each time T in a nonvolatile manner, for example.
  • data indicating each counting time is stored as data indicating each time T which is a boundary time between them.
  • the result of the confirmation counting is associated with the counting time in which the confirmation counting is performed in the memory 18.
  • the display unit 17 corresponds to an example of a notification unit and an example of a warning unit according to the present invention.
  • the memory 18 may be a volatile memory as long as the power supply to the memory 18 does not stop until a warning or the like described later is performed.
  • the counting operation is not performed at the counting time from the start of surgery to the time T1 illustrated in FIG. 3 and the counting time from the time T7 to the time T8, and the counting operation is performed at other counting times.
  • the result of the confirmation count (the real number counted by the counting work at that time) is displayed on the display unit 17 in the manner shown in FIG.
  • the result of the confirmation coefficient stored in the memory 18 is monitored during the operation.
  • the result of confirmation counting (real number) in each counting time is a predetermined number set in advance from the total number of gauze G at that time (in the following description, the predetermined number is expressed as “ If it is equal to or greater than the number obtained by subtracting the threshold number), it is assumed that the counting operation that can be regarded as the timeout is executed within the counting time.
  • the threshold number in this case, for example, it is estimated that the patient PT is in the body of the patient during the counting time (the time-out is not executed when there is much bleeding, so the counting time during bleeding is excluded).
  • the maximum number of gauze G (for example, 20 sheets) is considered. Since the threshold number is a number that varies depending on, for example, the surgical procedure or the surgeon, for example, it may be arbitrarily set in the main device 1 at the start of the operation.
  • the result of the confirmation count for each counting time is equal to or more than the number obtained by subtracting the threshold number from the total number of gauze G at the time of each confirmation count.
  • the main device 1 confirms that before the scheduled end time of the operation. This warning is performed by, for example, display using the display unit 17 or emitting a warning sound through a speaker (not shown). As a result, at least one timeout is ensured in one operation.
  • a warning to that effect is displayed using the display unit 17 or the warning. You may comprise so that it may be performed by sound emission. Further, the main body device 1 may perform this warning for the counting time up to that point when, for example, half of the surgery is completed. Further, it may be configured such that each time one counting time elapses, the warning is performed for a part or all of the previous counting time.
  • the confirmation count (two confirmation counts) in each of two consecutive counting times is performed within a time corresponding to one counting time (for example, 15 minutes in the embodiment),
  • the main unit 1 recognizes that the confirmation count that can be regarded as the timeout has been executed.
  • the main unit 1 has a threshold ratio (for example, 80% that is set in advance with respect to the total number of the gauze G at the time of the counting time as a result of the confirmation counting for each counting time.
  • the confirmation count that is greater than or equal to a predetermined value may be a confirmation count that can be regarded as the timeout.
  • the main device 1 stores the number of times of confirmation when the result of confirmation count for each count time is equal to or greater than the total number of gauze G at the time of the count time minus the threshold number. 18 may be stored and displayed on the display unit 17 afterwards. Further, in this case, the number of times when the result of the confirmation count for each counting time is not zero (that is, the number of times the substantial confirmation count is performed irrespective of the threshold number) is stored in the memory 18, and this is stored. May be displayed on the display unit 17 afterwards.
  • the main device 1 uses the gauze information D1, the gauze information D3, and the gauze information D4 transmitted from the desktop device 31, the checkpoint terminal 33, and the handy device 30, respectively, so that the gauze counted in the desktop device 31 or the like is used.
  • G can be identified for each desktop device 31 or the like. Therefore, as illustrated in FIG. 4, for example, the main body device 1 is a device (for example, the desktop device 31, the checkpoint terminal 33, or the handy device 30) in which the gauze G is finally counted for each gauze number as gauze identification information. Any of the above may be displayed in an identifiable manner.
  • the gauze G from the gauze number “1” to the gauze number “7” is finally counted in the second storage unit 13 of the main body device 1.
  • the gauze G from the number “1” to the gauze number “7” is stored in the second storage unit 13 of the main device 1 as “used”. Further, the gauze G from the gauze number “1” to the gauze number “7” is first counted in the first storage unit 12 of the main body device 1 according to the progress of the operation, and then in the tabletop device 31 and the checkpoint terminal 33. After being counted, each is finally counted in the second storage unit 13 of the main body device 1.
  • “used” or “trash can” may be displayed in the hatched portion of the display area 17A illustrated in FIG.
  • FIG. 4 it is displayed that the gauze G from the gauze number “8” to the gauze number “10” is counted last in the checkpoint terminal 33. It is highly likely that the gauze G up to the gauze number “10” is currently used in the operation and exists in the patient PT. Further, the gauze G from the gauze number “8” to the gauze number “10” is first counted in the first storage unit 12 of the main body device 1 and then counted in the tabletop device 31 according to the progress of the operation. It is counted at the point terminal 33 and used for surgery. In this case, for example, “in use” may be displayed in the hatched portion of the display area 17B illustrated in FIG.
  • FIG. 4 it is displayed that the gauze G from the gauze number “11” to the gauze number “15” is counted last in the tabletop device 31.
  • the gauze G up to the number “15” is in the state of the opened gauze G on the tabletop device 31.
  • the gauze G from the gauze number “11” to the gauze number “15” is first counted in the first storage unit 12 of the main body device 1 and then counted in the tabletop device 31, and thereafter used sequentially in the operation. become.
  • “opened” may be displayed in the hatched portion of the display area 17C illustrated in FIG.
  • FIG. 4 it is displayed that the gauze G from the gauze number “16” to the gauze number “20” is counted only in the first storage unit 12 of the main body device 1.
  • the gauze G from the gauze number “16” to the gauze number “20” is the sterilized holding gauze G, and will be used for the operation sequentially through the tabletop device 31 and the like.
  • “unopened” or “sterilization hold” may be displayed in the hatched portion of the display region 17D illustrated in FIG.
  • the main body device 1 is separately provided with a first storage portion 12 including the antenna 2 and a second storage portion 13 including the antenna 3 therein.
  • the whole is supported by legs 20 at the lower four corners.
  • the first storage unit 12 is provided with a loading port 10 that can be pulled out with the handle 11.
  • the loading port 10 is pulled out toward the front, the package P is loaded, and then the loading port 10 is returned to its original position.
  • the package P is stored in the first storage unit 12.
  • the gauze identification information stored in the IC tag T of the sterilization holding gauze G in the inserted package P is read by the antenna 2 and the storage count of the sterilization holding gauze G is performed.
  • the second storage portion 13 is provided with a lid 15 that rotates around the hinge 16 by pulling upward with the handle 14, and the second storage portion 13 is lifted by lifting the lid 15 upward. Opened.
  • the used gauze G is put into the opened second storage portion 13 together with the gauze case 32.
  • the gauze identification information stored in the IC tag T of the used gauze G in the inserted gauze container 32 is read by the antenna 3, and the confirmation count of the used gauze G is performed.
  • the counting results using the antenna 2 and the antenna 3 are stored in a nonvolatile manner in the memory 18 inside the main unit 1 together with the gauze identification information used for the counting. Further, for example, as shown in FIG. In such a manner, the information is displayed on the display unit 17 including a liquid crystal display or the like on the upper part of the main device 1 and is notified to, for example, the outside nurse.
  • an infrared foot switch 21 that is turned on by inserting a toe into the opening 22 is provided on the bottom lower surface of the main unit 1.
  • the foot switch 21 is turned on, for example, when the lid 15 is closed, in addition to opening the second storage unit 13 by manually opening the lid 15 with the handle 14. And the lid 15 automatically rotates to the position shown by the broken line in FIG. 2 to open the second storage portion 13, and then when the used gauze G is stored in the second storage portion 13 together with the gauze case 32, the second storage portion 13 is opened again.
  • the lid 15 can be automatically closed and the confirmation count of the used gauze G in the gauze container 32 can be started.
  • the checkpoint terminal 33 has a configuration in which a main body 40 and a power supply unit PU are connected by a connection line 43.
  • the main body 40 is disposed in the clean field AR through which the unsealed gauze G used for surgery is inserted, for example, into the body of the patient PT, while the power supply unit PU is disposed in the unclean field.
  • the power supply unit PU is placed in the clean field AR has to be placed in an unclean field (for example, the floor) because space is limited and the operation is hindered in the first place.
  • the main body 40 has, for example, a planar antenna 41 that reads gauze identification information stored in the IC tag T of the opened gauze G that passes by the side, and the main body device that uses the read gauze identification information as the gauze information D4. 1 is provided, and the antenna 41 and the antenna 42 are driven by the driving power transmitted from the power supply unit PU via the connection line 43.
  • the power supply unit PU is provided with a battery 44 and a battery 45. These batteries 44 and 45 may be primary batteries such as dry batteries or rechargeable secondary batteries.
  • the main body 40 is driven by driving power from either the battery 44 or the battery 45.
  • the switching unit 46 in the power supply unit PU switches the driving power from the battery 44 or the driving power from the battery 45 and supplies it to the main body 40 via the connection line 43.
  • the switching unit 46 switches from the battery 44 to the battery 45 and continues to supply the driving power when, for example, the amount of power stored in the battery 44 that is supplying the driving power is less than the minimum power storage amount for driving the main body 40. To do.
  • the storage amount of each of the battery 44 and the battery 45 may be detected by, for example, the switching unit 46, and the detection result may be transmitted to the main device 1 to be notified on the main device 1. More specifically, for example, when driving power is supplied from the battery 44, the amount of electricity stored in the battery 44 is detected by the switching unit 46 that detects the amount of electricity stored and switches the battery 44 or the battery 45.
  • the detection result may be transmitted to the main device 1 via an MPU (Main Processing Unit) (not shown) having a control function such as the switching unit 46 and a transmitting unit (not shown) and notified on the main device 1. .
  • MPU Main Processing Unit
  • the fact is similarly transmitted from the power supply unit PU to the main unit 1 so that a predetermined caution notice or warning notice is given in the main unit 1. It can also be configured. Thereby, the operating state of the checkpoint terminal 33 can be recognized in the operating room OP. Further, even after switching from the battery 44 to the battery 45, the operation stoppage of the checkpoint terminal 33 due to insufficient driving power can be prevented by detecting / notifying the storage amount of the battery 45.
  • the main body 40 and the power supply unit PU are separated from each other by the connection line 43, the main body 40 is disposed in the clean field AR, and the power supply unit PU is kept in the unclean field.
  • the arrangement is arranged.
  • the checkpoint terminal 33 according to the embodiment can be configured as illustrated in FIG. 6B in addition to the configuration illustrated in FIG. That is, as illustrated in FIG. 6B, the checkpoint terminal 33 according to the embodiment has an incision W opened in a part of the body of the patient PT instead of the main body 40 illustrated in FIG.
  • a horseshoe-shaped antenna 51 disposed near or around the antenna 51, a transmitter 52 connected to the antenna 51 and including the antenna 42, and the power supply unit PU may be used.
  • the transmission unit 52 is disposed in the unclean field even if disposed in the clean field AR. It may be.
  • the antenna 51 reads the gauze identification information stored in the IC tag T of the opened gauze G that passes through the incision W and is inserted into the body of the patient PT, and transmits the read gauze identification information to the transmission unit 52.
  • the gauze information D4 is transmitted to the main device 1 through the antenna 42.
  • the antenna 51 and the transmission unit 52 are driven by the driving power transmitted from the power supply unit PU via the connection line 43.
  • the configuration of the power supply unit PU in this case is preferably the same configuration as that of the power supply unit PU illustrated in FIG.
  • the gauze counting system S if the result of the confirmation counting at each counting time is equal to or larger than the number obtained by subtracting the threshold number from the total number of gauze G at that time, it can be regarded as the timeout. It was assumed that the counting operation was executed within the counting time. However, as a gauze G counting operation, it is originally desirable that the location of all the gauze G including the threshold number is clarified. Therefore, in the gauze counting system S according to the embodiment, when the result of the confirmation counting in a certain counting time is equal to or more than the number obtained by subtracting the threshold number from the total number of the gauze G at that time, the time-out is considered.
  • the gauze G (for example, the opened gauze G and the used gauze G) using the handy device 30 is considered until the gauze G that cannot be counted in the confirmation count can be searched / counted. It is also possible to perform a search for (including gauze G). Such a subsequent search / count for the gauze G that could not be counted in the confirmation count is hereinafter referred to as a “follow-up function”.
  • step S100 the main body device 1 other than the handy device 30 etc. at the timing when a certain counting time during the operation is started.
  • a counting job using is performed (step S100).
  • the counting task in this case is shown as “first counting task” in FIG.
  • step S101 it is determined in the main device 1 whether or not the result of the confirmation count is 100 sheets (step S101), if the result is 100 sheets (step S101; YES), the follow-up according to the embodiment is originally performed. Since the function is unnecessary, the counting operation according to the embodiment is terminated.
  • step S101 when the result of the confirmation count is not 100 sheets, that is, when all the gauze G at that time cannot be counted, for example, only 95 sheets can be confirmed (step S101; NO),
  • the number of unconfirmed gauze G (for example, 5 sheets) at that time in the main unit 1 is displayed using, for example, the display unit 17 (step S102).
  • the outside nurse in the operating room OP searches the operating room OP using the handy device 30 and tries to find an unidentified gauze G (step S103).
  • the gauze information D3 is sequentially transmitted from the handy device 30 to the main body device 1, and the gauze identification information of the gauze G searched for in the handy device 30 is accumulated in the main body device 1 and counted. Then, based on the result of the search in step S103, it is determined whether or not the unconfirmed gauze G still exists in the main device 1 (step S104). In the determination in step S104, when there is no unconfirmed gauze G and the total of the count results at that time is 100 (step S104; NO), the follow-up function according to the subsequent embodiment is unnecessary. Then, the counting operation according to the embodiment is temporarily terminated.
  • step S104 when 100 pieces are found as a result of counting using the handy device 30 but not all 100 pieces are found, that is, for example, two pieces are found but the remaining three pieces are confirmed. If not completed (step S104; YES), the number of unconfirmed gauze G (three in this case) at that time in the main device 1 is displayed using, for example, the display unit 17 (step S105). Next, the main device 1 compares the result of the confirmation count at that time with “total number of gauze G ⁇ threshold number” (step S106).
  • step S106 if “confirmation count result ⁇ (total number of gauze G ⁇ threshold number)” (step S106; YES), the processing in steps S100 to S106 is performed within the counting time. If so, it is determined that a counting job that can be regarded as a timeout has been executed, and the counting job according to the embodiment (shown as “first counting job” in FIG. 7) is temporarily terminated.
  • step S106 if “confirmation count result ⁇ (total number of gauze G ⁇ threshold number)” is not satisfied (step S106; NO), for example, the outside nurse in the operating room OP uses the handy device 30.
  • the operating room OP is used to search for an unidentified gauze G (step S107).
  • the number of unconfirmed gauze G (two in this case) is sequentially displayed using, for example, the display unit 17 of the main device 1 (step S108).
  • provisional total number is simply referred to as “provisional total number”.
  • step S110 a counting operation using the main device 1 other than the handy device 30 is performed (step S110), and whether the result of the confirmation count is the provisional total at that time In the main device 1 (step S111), if the result is the provisional total number at that time (step S111; YES), the counting operation according to the embodiment at the counting time is ended (step S117). ), The process proceeds to step S118 described later.
  • step S111 when the result of the confirmation count is not the tentative total number at that time, that is, for example, only 97 sheets can be confirmed (step S111; NO), the main unit 1 has not yet been confirmed.
  • the number of gauze G (in this case, 3) is displayed using, for example, the display unit 17 (step S112).
  • the outside nurse in the operating room OP searches the operating room OP using the handy device 30 in the same manner as in step S103, and tries to find an unconfirmed gauze G (step S113). Then, based on the result of the search in step S113, it is determined whether or not the unconfirmed gauze G still exists in the main device 1 (step S114).
  • step S114 when there is no unconfirmed gauze G with respect to the provisional total at that time and the result of the count at that time is the provisional total (step S114; NO), the follow-up function according to the subsequent embodiment Is not necessary, the counting operation according to the embodiment is temporarily terminated (step S117), and the process proceeds to step S118 described later.
  • step S114 as a result of the counting using the handy device 30, if some of the provisional totals have not been found, that is, some have been found, for example, one has been found but the remaining three If not confirmed (step S114; YES), the number of unconfirmed gauze G at that time (three in this case) in the main unit 1 is displayed using, for example, the display unit 17 (step S115). Next, the main device 1 compares the result of the confirmation count at that time with “temporary total number ⁇ threshold number” (step S116).
  • step S116 if “confirmation count result ⁇ (temporary total number ⁇ threshold number)” (step S116; YES), the processing from step S109 to step S116 is performed within the counting time. For example, assuming that a counting job that can be regarded as a timeout has been executed, the counting job (second counting job) according to the embodiment is temporarily terminated (step S117), and the process proceeds to step S118 described later.
  • step S116 if “confirmation count result ⁇ (provisional total number ⁇ threshold number)” is not satisfied (step S116; NO), the counting work using the main body device 1 other than the handy device 30 is further performed.
  • the main apparatus 1 determines whether the result of the confirmation count is the total number of gauze G (step S119), if the result is the total number of gauze G at that time (step S119) NO), the counting work according to the embodiment is temporarily terminated.
  • step S119 when the result of the confirmation count is not the total number of gauze G (step S119; NO), the search using the handy device 30 (step S120) and the display using the display unit 17 (see FIG. Step S121) is repeated until there is no unconfirmed gauze G (see Step S119; NO).
  • FIG. 8 is a diagram illustrating a specific example of the counting task
  • FIGS. 9 to 11 are diagrams illustrating display examples corresponding to the specific example.
  • the threshold number is “zero”
  • the time-out in the operation is determined to be “inappropriate” and the counting operation for displaying the result is performed.
  • the process of step S106 and the process of step S116 shown in FIG. 7 are not executed (skipped).
  • the gauze G counting operation using the main device 1 or the like is performed according to the flowchart described with reference to FIG.
  • the gauze G in this case includes the sterilized holding gauze G, the opened gauze G, and the used gauze G.
  • the counting of all gauze G is not necessarily completed within one counting time.
  • the follow-up function is used, and the counting work based on the provisional total is additionally performed, so that the counting of all the gauze G is finally completed.
  • the operation was performed as a counting service number (hereinafter simply referred to as “number”) 1 after the operation started.
  • number a counting service number
  • the “total number of counted sheets” shown in FIG. 8 is 100 sheets, and the counting operation of number 1 usually ends within the counting time (for example, 15 minutes). Therefore, the count job of number 1 becomes “appropriate” when timed out according to the embodiment, and that effect is displayed on, for example, the display 17 of the main device 1 as shown in FIGS. 9 to 11, for example.
  • the counting work of number 2 performed for example several tens of minutes or one hour after the counting work of number 1, for example, 70 opened gauze G are counted by the desktop device 31 by the progress of the operation, and the checkpoint
  • the “total number of counted sheets” shown in FIG. 8 is 100 sheets, and the number 2 counting operation is usually completed within the counting time.
  • the count job of number 2 also becomes “appropriate” when timed out according to the embodiment, and that fact is displayed on the display device 17 of the main device 1, for example, as shown in FIGS. Note that in the counting work after the counting work of number 2 described below, the counting work corresponding to the confirmation count is executed.
  • the time-out according to the embodiment becomes “inappropriate”. Is displayed, for example, as shown in FIGS. 9 to 11 on the display 17 of the main unit 1 (see step S105 and step S108 in FIG. 7).
  • the number “97” counted in the counting service of number 3 is counted as the provisional total number. Is executed (see step S109 in FIG. 7). In FIG. 8, the state of handover between the provisional total number of counting tasks is illustrated by a broken-line arrow. Then, in the counting work of number 4, the opened gauze G is counted by, for example, 50 (less than the previous counting work) by the desktop device 31, and the opened gauze G or the used gauze G is counted by, for example, 3 sheets at the checkpoint terminal 33.
  • Step S111; see YES) 3 sheets less than the total number. Therefore, even if the counting operation of the number 4 ends within the above-described counting time, the time-out according to the embodiment becomes “inappropriate”, and this is indicated on the display 17 of the main unit 1, for example, FIG. 9 to FIG. 11 (see step S121 in FIG. 7).
  • the counting task according to the embodiment is not subject to determination as a timeout.
  • the counting task with the number 5 is treated as “exclusion” as illustrated in FIG. More specifically, “48” as the counting result is tentatively displayed, for example, on a display unit (not shown) of the desktop device 31 or only tentatively displayed on the display unit 17 of the main device 1. Thus, it is not stored in the main device 1.
  • the confirmation count in the second storage unit 13 of the main body device 1 is taken as an example of the condition to be regarded as a timeout.
  • the essential condition is arbitrarily set according to the user's agreement or the like. Can do.
  • three confirmation counts are executed: a confirmation count in the second storage unit 13 of the main device 1, a confirmation count in the first storage unit 12 of the main device 1, and a confirmation count in the tabletop device 31. This may be an indispensable condition for considering this as a timeout.
  • the total number is larger than the provisional total number in step S109 (see step S111 in FIG. 7; NO reference). ) 2 less than the above total. Therefore, even if the counting operation of the number 6 ends within the above-described counting time, the time-out according to the embodiment becomes “inappropriate”, and this is indicated on the display 17 of the main unit 1, for example, FIG. 9 to FIG. 11 (see step S115 in FIG. 7).
  • the counting service according to the embodiment is not subject to determination as a timeout, and is treated as “exclusion” as illustrated in FIG. More specifically, only the provisional display on the handy device 30 or the main body device 1 similar to the counting work of the number 5 is executed for “2” as the counting result.
  • the total number of gauze G used from the counting operation of No. 3 to the counting operation of No. 7 and the subsequent follow-up function (see FIG. 7) is performed within the counting time and is finally used for the operation.
  • the timeout is “appropriate”, and that effect is executed on the display unit 17 of the main device 1, for example.
  • the two sheets counted in the number 7 counting service are two sheets different from the 98 sheets counted in the number 6 counting service.
  • the tabletop device 31 for example, as a counting job of number 8 (a new counting job based on the total number of gauze G (100 sheets)) performed several tens of minutes or one hour after the counting job of number 7 Only, for example, 30 sheets of opened gauze G are further counted.
  • the time-out according to the embodiment becomes “inappropriate”, and this is indicated on the display 17 of the main unit 1, for example, FIG. 9 to FIG. 11 (see step S102 in FIG. 7).
  • the counting service of the number 9 and the counting service of the number 10 and the subsequent follow-up function are performed within the counting time, and finally the total number of gauze G used for the operation. If 100 sheets can be counted, it can be determined that the timeout is “appropriate”, and that effect is executed on the display unit 17 of the main device 1, for example.
  • FIG. 9 the value (vertical axis) of the total number of counted sheets in each counting operation described with reference to FIG. 8 is shown together with the timing (horizontal axis) at which each corresponding counting operation is performed.
  • time T1, time T2, time T3,..., Time T5 for each counting time according to the embodiment are described according to the example illustrated in FIG. 9 corresponds to the numbers 1, 2,..., 10 illustrated in FIG.
  • the total number of counting operations of each counting operation described with reference to FIG. 8 can be configured to be displayed on the display unit 17 of the main device 1 for each counting time, for example.
  • the final counting result within the counting time for the counting service of number 1 and the counting service of number 2 is the same as the above total number. Is determined to be “suitable”, and a message to that effect is displayed as shown in FIG.
  • the total number of counted sheets in each counting job is displayed with ().
  • the counting job from number 3 to the counting job of number 7 is executed within one counting time from time T2 to time T3, if each of the counting jobs is noted, it is “unsuitable” or “excluded”. (See FIG. 8), if the total number of counts that finally matches the total number from the count job of number 3 to the count job of number 7 is finally obtained, the timeout within the count time is “ It can be configured to be determined as “appropriate” and displayed on the display unit 17.
  • the total number of counted sheets is 98 in the counting job of No. 6, and two are searched for in the counting job using the handy device 30 of No. 7 thereafter. Therefore, as a result of the counting service of No. 6 and the counting service of No. 7, the total number of counts corresponding to the above-mentioned total number is obtained, so as a timeout within one counting time from time T2 to time T3. Is determined to be “suitable”, and a message to that effect is displayed on the display unit 17.
  • the “counting time” according to the embodiment is not continuously set as illustrated in FIG. 9 but is intermittently set (defined) as illustrated in FIG.
  • the counting service of number 9 and the counting service of number 10 are executed within one counting time from time T5 to time T6, if each of the counting services is noticed, “inappropriate” or “exclusion” (See FIG. 8), if the total number of counts that finally matches the above total number is obtained as the counting service of number 9 and the counting service of number 10, the timeout within the counting time is “appropriate” ”And display on the display unit 17.
  • the total number of counted sheets is 99 in the counting job of number 9, and one is searched for in the counting job using the handy device 30 of number 10 thereafter.
  • FIG. 11 the count value (vertical axis) of each device in each counting work described with reference to FIG. 8 is shown together with the corresponding number of counting work (horizontal axis). 11 corresponds to number 1, number 2,..., Number 10 illustrated in FIG.
  • the count value of each device in each counting task described with reference to FIG. 8 (that is, the count value in each of the main device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33).
  • (Value) can be configured to be displayed on the display unit 17 of the main device 1 for each counting task, for example.
  • the count result is displayed so as to be identifiable for each device and for each counting task.
  • the display is made identifiable by changing the hatching mode for each device. However, this can be changed for each color to display the device in an identifiable manner.
  • the gauze identification information stored in the IC tag T of each gauze G is wirelessly read during the operation, and the read gauze identification The gauze G is counted during the operation based on the information, and the count result and the counting time are associated with each other and stored in the memory 18 so as to be readable and displayed. Therefore, by displaying the result of the confirmation count stored in association with the count time so as to be able to be confirmed, it is possible to confirm at any timing that the count of the gauze G has been executed during the operation. Therefore, the gauze G can be counted reliably to ensure safety management and the like regarding the use of the gauze G.
  • gauze identification information is read, gauze count and confirmation count results are stored at multiple predetermined count times during the operation, so the confirmation count results corresponding to the predetermined count times can be displayed. By doing this, it is possible to confirm later that gauze G has been counted during the operation in relation to the counting time.
  • the number of confirmation counts for a plurality of counting times during surgery is notified, the number of times gauze G is counted during surgery can be immediately confirmed.
  • the configuration is such that a warning is displayed when the result of each confirmation count is equal to or less than the threshold ratio after the operation is completed, it can be quickly recognized after the operation that the confirmation count has not been performed.
  • the shape of the antenna 51 is a horseshoe shape
  • other examples of the shape of the antenna 51 are also conceivable.
  • the area of the incision W is relatively small, such as so-called laparoscopic surgery (laparoscopic surgery)
  • it is not a horseshoe shape, for example, an annular or annular shape surrounding the entire incision W
  • An antenna may be used, a planar antenna such as a small circular or rectangular shape, or a small linear antenna.
  • an annular or annular antenna that surrounds the entire incision W instead of the horseshoe shape may be used.
  • an annular antenna that surrounds a cylindrical portion inserted into the abdominal cavity is attached to the trocar, and the trocar is inserted.
  • Another antenna is also attached to the side of the incision wound (external to the trocar), and the gauze G (either the unsealed gauze G before use or the used gauze G) that passes through the trocar by these two antennas.
  • a configuration for detecting gauze identification information is conceivable. In this case, the gauze identification information of the opened gauze G inserted into the abdominal cavity through the trocar is read by the antenna on the ring attached to the tubular portion of the trocar, and the incision wound after the used trocar is removed.
  • the gauze identification information of the used gauze G can be read with an antenna attached to the side of the incision.
  • the gauze identification information of the opened gauze G inserted into the abdominal cavity through the trocar using only one of the annular antenna attached to the trocar or the antenna outside the trocar Both the gauze identification information of the finished gauze G may be read.
  • the gauze G in the patient PT and the gauze G taken out from the body can be displayed so as to be distinguishable. .
  • the used gauze G is collected using the gauze container 32.
  • the used gauze G is directly put into the second storage unit 13 without using the gauze container 32. You may comprise.
  • the present invention is applied to the gauze counting system S including the main body device 1, the handy device 30, the tabletop device 31, and the checkpoint terminal 33 has been described. It is also possible to apply the present invention to a gauze counting system including the main body device 1, the handy device 30, and the desktop device 31 excluding the checkpoint terminal 33.
  • the registration function stores the memory count of the sterile holding gauze G brought into the operating room OP (that is, the memory count in the first storage unit 12 of the main body device 1 or the tabletop device 31 (for the opened gauze G).
  • the collection function is a function for performing the confirmation count (that is, the confirmation count in the second storage unit 13 of the main body device 1) for the used gauze G.
  • the “intermediate confirmation” function is a function for grasping the progress in progress from the registration to the collection (that is, performing confirmation counting in the desktop device 31 and the checkpoint terminal 33).
  • the “search” function counts the gauze G that has not been counted in any of the “registration” function, “collection” function, and “intermediate confirmation” function (that is, counts using the handy device 30). It is a function.
  • the device for configuring the gauze counting system S may be only a device having the “recovery” function, and further having a “registration” function and a “recovery” function. Better. More preferably, a device having a function obtained by adding either or both of the “intermediate confirmation” function and the “exploration” function to these devices may be used. In these cases, the apparatus having the “registration” function and the “collection” function may be integrated or separate.
  • various warnings and the like are performed using the display unit 17, but other than this, for example, a buzzer or a voice may be used.
  • the programs corresponding to the operations of the main body device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33 described above are recorded on a recording medium such as a compact disc or acquired from a network such as the Internet.
  • the process of controlling the operations of the main body device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33 by reading and executing the data with a general-purpose microcomputer or the like. It is also possible to function as a part.
  • the present invention can be used in the field of gauze counting systems, and particularly when applied to the field of gauze counting systems for safety management related to gauze G counting, a particularly remarkable effect can be obtained. It is done.

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Abstract

Provided is a gauze counting system (S), comprising a main body device (1). Each piece of gauze (G) is provided with an IC tag (T) which stores identification information. The main body device (1) scans the identification information stored in the IC tags (T) during an operation with antennae (2-3), and counts the pieces of gauze (G) on the basis of the scanned identification information. The main body device (1) stores a counting result and timestamp information which signifies the time when the count was carried out in a memory (18). The main body device (1) links the counting result to the timestamp information and displays same in a display unit (17). With this system (S), it is possible to verify at any time that a count of pieces of gauze has been executed during an operation.

Description

ガーゼ計数システム及びプログラムGauze counting system and program
　本発明は、ガーゼ計数システム及びプログラムの技術分野に属し、より詳細には、手術に用いられるガーゼを計数するガーゼ計数システム及び当該ガーゼ計数システム用のプログラムの技術分野に属する。 The present invention belongs to the technical field of gauze counting systems and programs, and more specifically, to the technical field of gauze counting systems that count gauze used in surgery and programs for the gauze counting systems.
　一般に、手術においては大量のガーゼが使用される。このようなガーゼの数を管理することは、手術事故を防止する上で極めて重要である。 Generally, a large amount of gauze is used in surgery. Managing the number of such gauze is extremely important in preventing surgical accidents.
　近年では、いわゆるＩＣ（Integrated Circuit）タグをガーゼそれぞれに設け、このＩＣタグ内にガーゼそれぞれを識別するためのガーゼ識別情報を不揮発性に記憶させ、当該ガーゼ識別情報を無線により読み取って各ガーゼを管理する試みが為されている。このようなＩＣタグを用いたガーゼの管理については、例えば下記特許文献１に開示されている。 In recent years, so-called IC (Integrated Circuit) tags are provided in each gauze, gauze identification information for identifying each gauze is stored in a non-volatile manner in the IC tag, and each gauze is read by wirelessly reading the gauze identification information. Attempts have been made to manage. The management of gauze using such an IC tag is disclosed, for example, in Patent Document 1 below.
特開２００４－２８７８４６号公報（第１図、第５図及び第６図等）Japanese Patent Application Laid-Open No. 2004-287846 (FIGS. 1, 5, 6, etc.)
　しかしながら上記特許文献１では、ＩＣタグを用いて無線によりガーゼを計数するという大まかな概念が開示されているに過ぎない。 However, the above Patent Document 1 only discloses a rough concept of counting gauze wirelessly using an IC tag.
　一方、手術におけるガーゼの用いられ方は実に様々であり、それぞれの用いられ方で、例えば手術に用いられる滅菌済みのガーゼであって、滅菌状態が保持されているガーゼ（以下、当該ガーゼを「滅菌保持ガーゼ」と称する）と、それ以外の非滅菌保持ガーゼと、を確実に区別して取り扱う必要がある等、様々な注意すべき点がある。なお上記非滅菌保持ガーゼとして具体的には、滅菌状態を保持するための包装材を開封し、手術室内の清潔野に載置されているガーゼ（以下、「開封済みガーゼ」と称する）と、実際に手術に使用されて汚れたガーゼ（以下、「使用済みガーゼ」と称する）とがある。これらに対し、上記特許文献１に開示されている技術では、このような様々な用いられ方や注意すべき点に配慮したガーゼの計数はできない。 On the other hand, there are various ways of using gauze in surgery. For example, each gauze is a sterilized gauze that is used in surgery and maintains a sterilized state (hereinafter referred to as “gauze”). There are various points to be noted, for example, it is necessary to reliably distinguish between “sterile holding gauze” and other non-sterile holding gauze. Specifically, as the non-sterile holding gauze, the packaging material for holding the sterilized state is opened, and the gauze (hereinafter referred to as “opened gauze”) placed in the clean field in the operating room, There is gauze (hereinafter referred to as “used gauze”) that is actually used for surgery and soiled. On the other hand, the technique disclosed in Patent Document 1 cannot count gauze in consideration of such various uses and points to be noted.
　またガーゼの上記管理のため、手術中においてその進行を一旦停止し、その時点でのガーゼの総数を数えて確認することが行われる。このような、ガーゼの計数のために手術の進行を一時的に止めることは、一般に「タイムアウト」と称される。更に、タイムアウトを実行するタイミングや回数は、手術を行う病院等において、例えば事前の取り決めとして定められるのが一般的である。この場合、手術の最後にタイムアウトが行われることもあるが、それ以外に、その手術の途中においてもタイムアウトを行ってその時点でのガーゼの総数を確認しておくことが、手術の安全管理上は望ましい。そして更には、当該手術中のタイムアウトが行われたことを、事後的に確認可能とすることが望ましい。しかしながら上記特許文献１では、上記のようなタイムアウト又はこれに類似する動作については全く考慮されていない。 Also, for the above management of gauze, the progress is temporarily stopped during the operation, and the total number of gauze at that time is counted and confirmed. Such a temporary stop of surgery for gauze counting is commonly referred to as “timeout”. Furthermore, the timing and the number of times of executing the timeout are generally determined as prior arrangements, for example, at a hospital where surgery is performed. In this case, a time-out may be performed at the end of the operation, but in addition to that, it is also necessary to check the total number of gauze at that point in time during the operation for the safety management of the operation. Is desirable. Furthermore, it is desirable to be able to confirm after the fact that a timeout has occurred during the operation. However, in the above-mentioned Patent Document 1, no consideration is given to the above-described timeout or similar operation.
　そこで本発明は、上記の問題点に鑑みて為されたもので、その課題は、手術中に上記管理のためのガーゼの計数が実行されたことを任意のタイミングで確認することができる新規なガーゼ計数システム及び当該ガーゼ計数システム用のプログラムを提供することにある。 Therefore, the present invention has been made in view of the above problems, and the problem is a novel that can confirm at any timing that the count of the gauze for the management is performed during the operation. It is to provide a gauze counting system and a program for the gauze counting system.
　上記の課題を解決するために、請求項１に記載の発明は、手術用のガーゼを識別するためのガーゼ識別情報であって、無線により読み取られるガーゼ識別情報を記憶するＩＣタグ等の識別情報記憶手段をそれぞれに備えるガーゼを、前記手術中に計数するガーゼ計数システムであって、前記識別情報記憶手段に記憶されている前記ガーゼ識別情報を、前記手術中に前記無線により読み取るアンテナ等の読取手段と、前記読み取られたガーゼ識別情報に基づいて、前記手術中に前記ガーゼを計数するアンテナ等の計数手段と、前記計数手段による計数結果を示す結果情報と、当該計数が行われた時刻を示す時刻情報と、を関連付けて、読み出し可能に保持するメモリ等の保持手段と、前記保持されている結果情報を、前記時刻情報に関連付けて告知する表示部等の告知手段と、を備える。 In order to solve the above problems, the invention described in claim 1 is gauze identification information for identifying a gauze for surgery, and identification information such as an IC tag for storing gauze identification information read by radio A gauze counting system that counts gauze each having storage means during the operation, and that reads the gauze identification information stored in the identification information storage means by radio during the surgery. Means, a counting means such as an antenna for counting the gauze during the operation based on the read gauze identification information, result information indicating a counting result by the counting means, and a time when the counting is performed. And a holding means such as a memory that holds the read time information in association with the time information, and associates the held result information with the time information. And a notification means such as a display unit announcement to.
　上記の課題を解決するために、請求項８に記載の発明は、手術用のガーゼを識別するためのガーゼ識別情報であって、無線により読み取られるガーゼ識別情報を記憶するＩＣタグ等の識別情報記憶手段をそれぞれに備えるガーゼを、前記手術中に計数するガーゼ計数システムに含まれるコンピュータを、前記識別情報記憶手段に記憶されている前記ガーゼ識別情報を、前記手術中に前記無線により読み取るアンテナ等の読取手段を制御する読取制御手段、前記読み取られたガーゼ識別情報に基づいて、前記手術中に前記ガーゼを計数する計数手段、前記計数手段による計数結果を示す結果情報と、当該計数が行われた時刻を示す時刻情報と、を関連付けて、読み出し可能に保持する保持手段、及び、前記保持されている結果情報を、前記時刻情報に関連付けて告知する表示部等の告知手段を制御する告知制御手段、として機能させる。 In order to solve the above problems, the invention described in claim 8 is gauze identification information for identifying a gauze for surgery, and identification information such as an IC tag for storing gauze identification information read by radio A computer included in a gauze counting system that counts gauze each having storage means during the operation, an antenna that reads the gauze identification information stored in the identification information storage means wirelessly during the operation, and the like Reading control means for controlling the reading means, counting means for counting the gauze during the operation based on the read gauze identification information, result information indicating a counting result by the counting means, and the counting is performed. And a holding means for holding the information in a readable manner in association with the time information indicating the time, and the held result information Notification control means for controlling the notification means of the display unit or the like to notify in association with the information, to function as a.
　請求項１又は請求項８に記載の発明によれば、各ガーゼの識別情報記憶手段に記憶されているガーゼ識別情報を手術中に無線により読み取り、その読み取られたガーゼ識別情報に基づいて手術中にガーゼを計数し、その計数結果を示す結果情報と、計数が行われた時刻を示す時刻情報と、を関連付けて、読み出し可能に保持した上で告知する。よって、時刻情報に関連付けて保持されている結果情報を確認可能に告知することで、手術中にガーゼの計数が実行されたことを任意のタイミングで確認することができる。 According to invention of Claim 1 or Claim 8, the gauze identification information memorize | stored in the identification information storage means of each gauze is read by radio | wireless during an operation, and it is in operation based on the read gauze identification information The gauze is counted, and the result information indicating the counting result and the time information indicating the time when the counting is performed are associated with each other, and the information is held so as to be readable and notified. Therefore, by notifying that the result information held in association with the time information can be confirmed, it is possible to confirm at any timing that gauze counting has been performed during the operation.
　上記の課題を解決するために、請求項２に記載の発明は、請求項１に記載のガーゼ計数システムにおいて、前記計数を行うべき時間として予め設定された計数時間を記憶するメモリ等の時間記憶手段を更に備え、前記読取手段、前記計数手段及び前記保持手段は、前記手術中の前記計数時間において、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持を行うように構成される。 In order to solve the above-mentioned problem, the invention according to claim 2 is the gauze counting system according to claim 1, wherein the time storage such as a memory for storing a preset counting time as the time to perform the counting is provided. The reading means, the counting means, and the holding means read the gauze identification information, count the gauze, hold the result information, and the time information at the counting time during the operation. Configured as follows.
　請求項２に記載の発明によれば、請求項１に記載の発明の作用に加えて、手術中の既定の計数時間において、ガーゼ識別情報の読み取り、ガーゼの計数並びに結果情報及び時刻情報の保持を行うので、既定の計数時間に対応した結果情報を確認可能に告知することで、手術中にガーゼの計数が実行されたことを当該計数時間との関係で後から確認することができる。 According to the invention described in claim 2, in addition to the operation of the invention described in claim 1, the gauze identification information is read, the gauze is counted, and the result information and the time information are retained at a predetermined counting time during the operation. Therefore, by notifying that the result information corresponding to the predetermined counting time can be confirmed, it is possible to confirm later that gauze counting was performed during the operation in relation to the counting time.
　上記の課題を解決するために、請求項３に記載の発明は、請求項２に記載のガーゼ計数システムにおいて、前記時間記憶手段は異なる複数の前記計数時間を記憶し、前記読取手段、前記計数手段及び前記保持手段は、前記手術中の異なる前記計数時間において、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持をそれぞれ行い、前記告知手段は、各前記保持されている結果情報を識別可能に告知するように構成される。 In order to solve the above-mentioned problem, according to a third aspect of the present invention, in the gauze counting system according to the second aspect, the time storage means stores a plurality of different counting times, and the reading means, the counting The means and the holding means respectively read the gauze identification information, count the gauze, and hold the result information and the time information at different counting times during the operation, and the notification means Configured to notify the result information being identifiable.
　請求項３に記載の発明によれば、請求項２に記載の発明の作用に加えて、手術中の異なる計数時間において、ガーゼ識別情報の読み取り、ガーゼの計数並びに結果情報及び時刻情報の保持をそれぞれ行ってその結果情報を識別可能に告知するので、複数の計数時間に対応した結果情報をそれぞれ確認可能に告知することで、手術中にガーゼの計数が複数回実行されたことを後から確認することができる。 According to the invention described in claim 3, in addition to the operation of the invention described in claim 2, the gauze identification information is read, the gauze is counted, and the result information and the time information are held at different counting times during the operation. Since the result information is identifiable so that it can be identified, the result information corresponding to multiple counting times can be confirmed to confirm that the gauze count has been performed multiple times during the operation. can do.
　上記の課題を解決するために、請求項４に記載の発明は、請求項２に記載のガーゼ計数システムにおいて、前記読取手段、前記計数手段及び前記保持手段は、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持を、前記手術中に複数回行い、前記告知手段は、各前記保持されている結果情報を識別可能に、且つ前記計数を行うべき時間として予め設定された計数時間との関係において告知するように構成される。 In order to solve the above problem, the invention according to claim 4 is the gauze counting system according to claim 2, wherein the reading means, the counting means, and the holding means read the gauze identification information, and Counting the gauze and holding the result information and the time information are performed a plurality of times during the operation, and the notification means can identify each of the held result information and set the time for the counting in advance. It is configured to notify in relation to a set counting time.
　請求項４に記載の発明によれば、請求項２に記載の発明の作用に加えて、ガーゼ識別情報の読み取り、ガーゼの計数並びに結果情報及び時刻情報の保持が手術中に複数回行われ、保持されている結果情報が識別可能に、且つ既定の計数時間との関係において告知されるので、手術中にガーゼの計数が複数回実行されたことを、既定の計数時間との関係で後から確認することができる。 According to the invention described in claim 4, in addition to the operation of the invention described in claim 2, reading of gauze identification information, counting of gauze, and holding of result information and time information are performed a plurality of times during surgery, Since the retained result information is identifiable and announced in relation to the predetermined counting time, it is later confirmed that the gauze counting was performed several times during the operation in relation to the predetermined counting time. Can be confirmed.
　上記の課題を解決するために、請求項５に記載の発明は、請求項２から請求項４のいずれか一項に記載のガーゼ計数システムにおいて、前記読取手段、前記計数手段及び前記保持手段は、前記手術中の複数の前記計数時間において、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持をそれぞれ行い、前記告知手段は、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持が前記手術中に行われた回数を告知するように構成される。 In order to solve the above problem, the invention according to claim 5 is the gauze counting system according to any one of claims 2 to 4, wherein the reading means, the counting means, and the holding means are The gauze identification information is read, the gauze is counted, and the result information and the time information are held in the counting time during the operation, respectively, and the notification means reads the gauze identification information, It is configured to notify the number of times that the gauze count and the result information and the time information are retained during the operation.
　請求項５に記載の発明によれば、請求項２から請求項４のいずれか一項に記載の発明の作用に加えて、手術中の複数の計数時間において、ガーゼ識別情報の読み取り、ガーゼの計数並びに結果情報及び時刻情報の保持がそれぞれ行われ、その保持等が手術中に行われた回数が告知されるので、手術中におけるガーゼの計数が行われた回数を直ちに確認することができる。 According to the invention described in claim 5, in addition to the operation of the invention described in any one of claims 2 to 4, the gauze identification information is read at a plurality of counting times during the operation. Counting, result information, and time information are each held, and the number of times the holding or the like is performed during the operation is notified. Therefore, it is possible to immediately confirm the number of times the gauze is counted during the operation.
　上記の課題を解決するために、請求項６に記載の発明は、請求項１から請求項５のいずれか一項に記載のガーゼ計数システムにおいて、前記計数結果が、前記手術に用いられるべき前記ガーゼの総数に対応して予め設定された基準数以下の場合に警告を発する表示部等の警告手段を更に備える。 In order to solve the above-mentioned problem, the invention according to claim 6 is the gauze counting system according to any one of claims 1 to 5, wherein the counting result is used for the surgery. Warning means such as a display unit that issues a warning when the number of gauze is equal to or less than a preset reference number is further provided.
　請求項６に記載の発明によれば、請求項１から請求項５のいずれか一項に記載の発明の作用に加えて、計数結果が既定の基準数以下の場合に警告が発せられるので、計数結果が少ない旨を迅速に認識することができる。 According to the invention described in claim 6, in addition to the operation of the invention described in any one of claims 1 to 5, a warning is issued when the count result is equal to or less than a predetermined reference number. It is possible to quickly recognize that the counting result is small.
　上記の課題を解決するために、請求項７に記載の発明は、請求項１から請求項６いずれか一項に記載のガーゼ計数システムにおいて、前記手術の終了後において、前記保持されている結果情報を読み出す本体装置等の読出手段と、前記読み出された結果情報により示される前記計数結果が、前記手術に用いられるべき前記ガーゼの総数に対応して予め設定された基準数以下の場合に警告を発する表示部等の警告手段と、を更に備える。 In order to solve the above-mentioned problem, the invention according to claim 7 is the gauze counting system according to any one of claims 1 to 6, wherein the held result after the operation is completed. When the reading means such as a main body device for reading information and the counting result indicated by the read result information are equal to or less than a reference number set in advance corresponding to the total number of the gauze to be used for the surgery Warning means such as a display unit for issuing a warning.
　請求項７に記載の発明によれば、請求項１から請求項６いずれか一項に記載の発明の作用に加えて、手術の終了後において結果情報を読み出し、読み出された結果情報により示される計数結果が基準数以下の場合に警告が発せられるので、計数結果が少ない旨を手術後に迅速に認識することができる。 According to the invention described in claim 7, in addition to the operation of the invention described in any one of claims 1 to 6, the result information is read after the operation is finished, and is indicated by the read result information. Since the warning is issued when the counted result is less than the reference number, it can be quickly recognized after the operation that the counted result is small.
　本発明によれば、各ガーゼの識別情報記憶手段に記憶されているガーゼ識別情報を手術中に無線により読み取り、その読み取られたガーゼ識別情報に基づいて手術中にガーゼを計数し、その計数結果を示す結果情報と、計数が行われた時刻を示す時刻情報と、を関連付けて、読み出し可能に保持した上で告知する。 According to the present invention, the gauze identification information stored in the identification information storage means of each gauze is wirelessly read during the operation, the gauze is counted during the operation based on the read gauze identification information, and the counting result The result information indicating the time and the time information indicating the time at which the counting is performed are associated with each other, and the information is held in a readable manner and notified.
　従って、時刻情報に関連付けて保持されている結果情報を確認可能に告知することで、手術中にガーゼの計数が実行されたことを任意のタイミングで確認することができる。 Therefore, by notifying that the result information held in association with the time information can be confirmed, it is possible to confirm at any timing that gauze counting has been performed during the operation.
実施形態に係るガーゼを示す図であり、（ａ）はその外観図であり、（ｂ）は封入されたガーゼの状態を例示する図である。It is a figure which shows the gauze which concerns on embodiment, (a) is the external view, (b) is a figure which illustrates the state of the enclosed gauze. 実施形態に係るガーゼ計数システムの構成を示す概念図である。It is a conceptual diagram which shows the structure of the gauze counting system which concerns on embodiment. 実施形態に係るカウント業務の実施例を示す図である。It is a figure which shows the Example of the count operation | work which concerns on embodiment. 実施形態に係るカウント業務の結果の表示例を示す図である。It is a figure which shows the example of a display of the result of the count work which concerns on embodiment. 実施形態に係る本体装置の外観を示す図であり、（ａ）は上面図であり、（ｂ）は右側面図であり、（ｃ）は正面図であり、（ｄ）は左側面図である。It is a figure which shows the external appearance of the main body apparatus which concerns on embodiment, (a) is a top view, (b) is a right view, (c) is a front view, (d) is a left view. is there. 実施形態に係るチェックポイントターミナルの外観等を示す図であり、（ａ）はその第１例を示す図であり、（ｂ）はその第２例を示す図である。It is a figure which shows the external appearance etc. of the checkpoint terminal which concerns on embodiment, (a) is a figure which shows the 1st example, (b) is a figure which shows the 2nd example. 実施形態に係る後追い機能を示す図である。It is a figure which shows the follow-up function which concerns on embodiment. 実施形態に係るカウント業務の具体例を示す図である。It is a figure which shows the specific example of the count operation | work which concerns on embodiment. 実施形態に係るカウント業務の具体例に対応した表示の第１例を示す図である。It is a figure which shows the 1st example of the display corresponding to the specific example of the count operation | work which concerns on embodiment. 実施形態に係るカウント業務の具体例に対応した表示の第２例を示す図である。It is a figure which shows the 2nd example of the display corresponding to the specific example of the count operation | work which concerns on embodiment. 実施形態に係るカウント業務の具体例に対応した表示の第３例を示す図である。It is a figure which shows the 3rd example of the display corresponding to the specific example of the count operation | work which concerns on embodiment.
　次に、本発明を実施するための形態について、図１乃至図１１を用いて説明する。なお以下に説明する実施形態は、手術に用いられるガーゼを計数するガーゼ計数システムに対して本発明を適用した場合の実施形態である。 Next, modes for carrying out the present invention will be described with reference to FIGS. In addition, embodiment described below is embodiment at the time of applying this invention with respect to the gauze counting system which counts the gauze used for a surgery.
　また、図１は実施形態に係るガーゼを示す図であり、図２は実施形態に係るガーゼ計数システムの構成を示す概念図であり、図３は実施形態に係るカウント業務の実施例を示す図であり、図４は当該カウント業務の結果の表示例を示す図である。更に、図５は実施形態に係る本体装置の外観を示す図であり、図６は実施形態に係るチェックポイントターミナルの外観等を示す図であり、図７は実施形態に係る後追い機能を示す図である。また、図８乃至図１１は、後述する実施形態に係るカウント業務の具体例をそれぞれ示す図である。 Moreover, FIG. 1 is a figure which shows the gauze which concerns on embodiment, FIG. 2 is a conceptual diagram which shows the structure of the gauze counting system which concerns on embodiment, and FIG. 3 is a figure which shows the Example of the count operation | work which concerns on embodiment. FIG. 4 is a diagram showing a display example of the result of the counting work. 5 is a diagram illustrating an appearance of the main body device according to the embodiment, FIG. 6 is a diagram illustrating an appearance of the checkpoint terminal according to the embodiment, and FIG. 7 is a diagram illustrating a follow-up function according to the embodiment. It is. 8 to 11 are diagrams respectively showing specific examples of counting work according to an embodiment to be described later.
　図１（ａ）に示すように、実施形態に係る各ガーゼＧには、そのガーゼＧを他のガーゼＧから識別するためのガーゼ識別情報が不揮発性に記憶されている識別情報記憶手段の一例としてのＩＣタグＴが、例えば接着又は縫い込み等の方法によりそれぞれ装着されている。ここで、実施形態のガーゼ計数システムが用いられる手術の場合、図１（ｂ）に示すように、複数のガーゼＧが例えば互いに重ねられた状態で包装材により包装され、その後に当該包装材ごと滅菌処理されてパッケージＰとされることで、滅菌状態が保持されているガーゼＧ（以下、単に「滅菌保持ガーゼＧ」と称する）としての滅菌状態を維持しつつ、パッケージＰとして後述する手術室に搬送される。 As shown to Fig.1 (a), in each gauze G which concerns on embodiment, an example of the identification information memory | storage means by which the gauze identification information for identifying the gauze G from the other gauze G is memorize | stored non-volatilely The IC tag T is attached by a method such as bonding or sewing. Here, in the case of an operation in which the gauze counting system of the embodiment is used, as shown in FIG. 1B, a plurality of gauze G is packaged with a packaging material in a state where they are overlapped with each other, and thereafter, for each packaging material. By operating as a package P after being sterilized, an operating room, which will be described later as a package P, is maintained while maintaining a sterilized state as a gauze G in which the sterilized state is maintained (hereinafter simply referred to as “sterilized holding gauze G”). It is conveyed to.
　次に、手術室内に設けられた実施形態に係るガーゼ計数システムの構成及び動作について、図２乃至図７を用いて説明する。 Next, the configuration and operation of the gauze counting system according to the embodiment provided in the operating room will be described with reference to FIGS.
　先ず図２に示すように手術室ＯＰ内には、手術を受ける患者ＰＴが寝かせられる手術台Ｂが設置されており、この手術台Ｂの周囲がいわゆる清潔野ＡＲとされている。この清潔野ＡＲとは、例えば当該手術において、執刀医、器械出し看護師及び手術助手がその手術に関する活動を行うことが認められている、手術室ＯＰ内の一定の領域をいう。通常清潔野ＡＲは、手術台Ｂを中心とした空間的（三次元的）な領域である。これに対し、手術に関わる他の看護師であるいわゆる外回り看護師等が活動する手術室ＯＰ内の清潔野ＡＲ以外の領域は、不潔野と称される。例えば手術台Ｂの真下付近の床であっても、清潔野ＡＲ以外の不潔野となる。なおここに不潔野とは、一般にいう「不潔な場所」という意味ではない。 First, as shown in FIG. 2, an operating table B in which a patient PT undergoing surgery is laid is installed in the operating room OP, and the area around the operating table B is a so-called clean field AR. The clean field AR refers to a certain area in the operating room OP in which, for example, a surgeon, an instrumentation nurse, and a surgical assistant are allowed to perform activities related to the operation in the operation. Normally, the clean field AR is a spatial (three-dimensional) area centered on the operating table B. On the other hand, the area other than the clean field AR in the operation room OP where other nurses who are involved in the operation, that is, so-called external nurses, etc., is called unclean fields. For example, even the floor near the operating table B becomes an unclean field other than the clean field AR. The unclean field here does not mean the “unclean place” in general.
　ここで上記「器械出し看護師」とは、清潔野ＡＲにおいて執刀医等に対して手術用器械を手渡す業務や、後述する卓上装置３１の載置台を含む器械台にある開封済みのガーゼＧ（以下、単に「開封済みガーゼＧ」と称する）を含む手術用器械を逐次計数する業務等を行う看護師である。また「外回り看護師」とは、通常は手術室ＯＰにおける不潔野において、実施形態に係るガーゼＧの計数を含むガーゼＧの取り扱い業務等、器械出し看護師が行う業務以外の業務等を行う看護師である。 Here, the “instrument removal nurse” refers to a task of handing a surgical instrument to a surgeon or the like in the clean field AR, or an opened gauze G (on the instrument table including a table for placing the desktop device 31 described later). Hereinafter, it is a nurse who performs a task of sequentially counting surgical instruments including “opened gauze G”. In addition, the “surrounding nurse” is a nurse who performs operations other than the work performed by the nurse taking out the instrument, such as the handling operation of the gauze G including the counting of the gauze G according to the embodiment in the unclean field in the operating room OP. A teacher.
　そして実施形態に係るガーゼ計数システムＳは、通常は不潔野内の所定の位置に配置される読出手段の一例としての本体装置１と、例えば外回り看護師に携帯されて操作されるハンディ装置３０と、通常は清潔野ＡＲ内の手術台Ｂの近傍に配置される卓上装置３１と、卓上装置３１と手術台Ｂ（換言すれば、患者ＰＴ）との間の領域の手術台Ｂの傍であって且つ患者ＰＴの体内に挿入されるガーゼＧが通過する位置に配置されるチェックポイントターミナル３３と、により構成されている。 And the gauze counting system S which concerns on embodiment is the main body apparatus 1 as an example of the reading means normally arrange | positioned in the predetermined position in unclean field, for example, the handy apparatus 30 which is carried and operated by the outside nurse, A tabletop device 31 that is normally arranged in the vicinity of the operating table B in the clean field AR, and the side of the operating table B in the region between the tabletop device 31 and the operating table B (in other words, the patient PT) The checkpoint terminal 33 is arranged at a position through which the gauze G inserted into the patient PT passes.
　この構成において卓上装置３１は、滅菌保持ガーゼＧが封入されているパッケージＰから取り出された開封済みガーゼＧが載置される例えば平板状の載置台を備えている。そして当該載置台に載置された開封済みガーゼＧのＩＣタグＴからそれに記憶されているガーゼ識別情報を無線により読み取り、当該載置されている開封済みガーゼＧを計数する。この計数結果は、当該計数に用いられたガーゼ識別情報と共にガーゼ情報Ｄ１として所定のタイミングで本体装置１に送信される。卓上装置３１は、それ自体が手術用のガーゼ台として用いられてもよいし、それが別途のガーゼ台又は器械台上に載置されていてもよい。 In this configuration, the tabletop device 31 includes, for example, a plate-like mounting table on which the unsealed gauze G taken out from the package P in which the sterilization holding gauze G is enclosed is placed. And the gauze identification information memorize | stored in it from the IC tag T of the unsealed gauze G mounted in the said mounting base is read by radio | wireless, The unopened gauze G currently mounted is counted. The counting result is transmitted to the main device 1 at a predetermined timing as gauze information D1 together with the gauze identification information used for the counting. The tabletop device 31 itself may be used as a surgical gauze table, or it may be placed on a separate gauze table or instrument table.
　なおここで、実施形態に係るガーゼＧの「計数」には、無線により読み取られるガーゼ識別情報を記憶するため（即ち登録するため）の計数と、当該ガーゼ識別情報が記憶されて識別可能となった一枚又は複数枚のガーゼＧの枚数を確認するための計数と、があり、計数時には両方の計数を同時に行っても良いし、何れか一方だけを行っても良い。以下、前者の計数を「記憶計数」と称し、後者の計数を「確認計数」と称する。 Here, in the “count” of the gauze G according to the embodiment, the count for storing (that is, registering) the gauze identification information read by radio and the gauze identification information are stored and can be identified. In addition, there is a counting for confirming the number of gauze G of one sheet or a plurality of sheets. At the time of counting, both counting may be performed at the same time, or only one of them may be performed. Hereinafter, the former count is referred to as “memory count” and the latter count is referred to as “confirmation count”.
　これに対してチェックポイントターミナル３３は、その傍又は直上を通過して患者ＰＴの手術に用いられる（より具体的には、例えば患者ＰＴの体内に挿入される）開封済みガーゼＧのＩＣタグＴからそれに記憶されているガーゼ識別情報を無線により読み取り、その読み取ったガーゼ識別情報をガーゼ情報Ｄ４として当該読み取りごと或いは所定のタイミングで本体装置１に送信する。なおチェックポイントターミナル３３におけるガーゼ識別情報の受信可能範囲は、上記用途に照らせば上記卓上装置３１における受信可能範囲よりも狭い（空間的に小さい）範囲で足り、例えば半径１０センチメートル程度のドーム状の受信可能範囲とされる。 On the other hand, the checkpoint terminal 33 passes through or directly above the checkpoint terminal 33 and is used for the operation of the patient PT (more specifically, for example, the IC tag T of the opened gauze G that is inserted into the patient PT). The gauze identification information stored therein is read wirelessly, and the read gauze identification information is transmitted to the main body device 1 as the gauze information D4 at each reading or at a predetermined timing. It should be noted that the receivable range of the gauze identification information at the checkpoint terminal 33 suffices to be narrower (spatially smaller) than the receivable range of the desktop device 31 in view of the above-mentioned use, for example, a dome shape having a radius of about 10 cm. It is considered as a receivable range.
　次にハンディ装置３０は、例えば手術に実際に使用された後に床に落とされている使用済みのガーゼＧ（以下、単に「使用済みガーゼＧ」と称する）のＩＣタグＴに記憶されているガーゼ識別情報を、無線により例えば清潔野ＡＲの外から読み取ることにより、当該落とされている使用済みガーゼＧを探査する。なお上記使用済みガーゼＧは、先に定義付けしたように「実際に手術に使用されて汚れたガーゼ」である場合が多いが、この他に、上記開封済みガーゼＧが手術に使用されないまま例えば手術室ＯＰの床に落とされてしまった（即ち、不潔野に移動されてしまった）場合も、その開封済みガーゼＧはその時点で使用済みガーゼＧとなることに留意が必要である。また、「実際に手術に使用されて汚れたガーゼ」には、患者ＰＴの体内にて使用する他、医療機器等を拭いたりして使用された場合等があることにも留意する必要がある。そしてハンディ装置３０は、手術室ＯＰ内において使用済みガーゼＧを広範囲に探査する場合、ガーゼ識別情報の受信可能範囲を上下左右に拡大して探査する。例えば、広範囲で探査する範囲を手術室ＯＰ全体にすれば、探査対象の使用済みガーゼＧが先ずは手術室に有るか否かを確認することができ、仮に交代した医療スタッフが誤って手術室ＯＰ外に持ち出してしまった可能性の有無を判断することができる。この場合、探査する時間を大幅に短くすることができるため、病院経営の面からも大変有効である。これに対して、手術室ＯＰ内の狭い位置をピンポイントで探査する場合、例えば、ガーゼ識別情報の受信可能範囲をビーム状に狭めて探査を行う。例えば狭い範囲を探査する場合、探査する医療スタッフ、例えば外回り看護師が手術室ＯＰの中を必要以上に動き回ることがなくなり、この時も探査時間を短くすることができる。 Next, for example, the handy device 30 stores the gauze stored in the IC tag T of the used gauze G (hereinafter simply referred to as “used gauze G”) that has been dropped onto the floor after being actually used for surgery. By reading the identification information from the outside of the clean field AR, for example, by radio, the used gauze G that has been dropped is searched for. The used gauze G is often “soiled gauze actually used for surgery” as defined above, but in addition to this, the opened gauze G is not used for surgery, for example. It should be noted that even if the gauze G is dropped on the floor of the operating room OP (that is, moved to the unclean field), the opened gauze G becomes the used gauze G at that time. In addition, it is necessary to pay attention to the fact that “dirt gauze actually used for surgery” may be used in the body of the patient PT, or may be used after wiping medical equipment or the like. . When the handy device 30 searches for the used gauze G in the operating room OP over a wide range, the handy device 30 searches the gauze identification information in a receivable range vertically and horizontally. For example, if the exploration range is set to the entire operating room OP, it can be confirmed whether the used gauze G to be searched is in the operating room first. It is possible to determine whether or not there is a possibility of being taken out of the OP. In this case, the exploration time can be greatly shortened, which is very effective from the viewpoint of hospital management. On the other hand, when searching for a narrow position in the operating room OP by pinpointing, for example, the search is performed by narrowing the receivable range of the gauze identification information in a beam shape. For example, in the case of exploring a narrow area, the exploring medical staff, for example, the outside nurse, does not move around in the operating room OP more than necessary, and the exploration time can also be shortened at this time.
　次に本体装置１は、第１収納部１２と、第２収納部１３と、をその内部に別個に備えている。第１収納部１２及び第２収納部１３内には、ＩＣタグＴからガーゼ識別情報を読み取るための計数手段の一例及び読取手段の一例としてのアンテナ２及びアンテナ３が、それぞれ備えられている。第１収納部１２には、滅菌保持ガーゼＧが図５（ｃ）に白矢印で示すように例えばパッケージＰのまま投入され、アンテナ２は当該投入されたパッケージＰに封入されている滅菌保持ガーゼＧのＩＣタグＴに記憶されているガーゼ識別情報を読み取ることにより、当該滅菌保持ガーゼＧの記憶計数を行う。これに対して第２収納部１３には、手術に使用されて汚れた使用済みガーゼＧが、例えばガーゼ入れ３２に投入された状態でガーゼ入れ３２ごと投入され、アンテナ３は当該投入された使用済みガーゼＧのＩＣタグＴに記憶されているガーゼ識別情報を読み取ることにより、当該使用済みガーゼＧの確認計数を行う。このとき本体装置１は、第２収納部１３において使用済みガーゼＧの確認計数が行われたとき、当該確認計数が行われた時点で第１収納部１２に残っている滅菌保持ガーゼＧの有無を確認する（若しくは、当該確認を看護師に行わせるための指示を告知する）。第１収納部１２に滅菌保持ガーゼＧが残っていれば、その残っている滅菌保持ガーゼＧのガーゼ識別情報を受信すると共に当該残っている滅菌保持ガーゼＧの確認計数を行う。これに加えて本体装置１は、卓上装置３１の載置台上に残っている開封済みガーゼＧの有無を卓上装置３１に確認させる旨の指令を当該卓上装置３１に送信し、当該確認を卓上装置３１に行わせる（若しくは、当該確認を看護師に行わせるための指示を告知する）。この結果卓上装置３１は、載置台上に残っている開封済みガーゼＧがあれば、その残っている開封済みガーゼＧのガーゼ識別情報を受信すると共に当該残っている開封済みガーゼＧの確認計数を行い、当該受信したガーゼ識別情報及び計数結果を本体装置１に送信する。併せて本体装置１は上記チェックポイントターミナル３３から送信されてくる上記ガーゼ情報Ｄ４を受信して記憶する。 Next, the main unit 1 includes a first storage unit 12 and a second storage unit 13 separately therein. In the first storage unit 12 and the second storage unit 13, an antenna 2 and an antenna 3 are provided as an example of a counting unit and an example of a reading unit for reading gauze identification information from the IC tag T, respectively. As shown by a white arrow in FIG. 5C, the sterilization holding gauze G is introduced into the first storage part 12 as, for example, the package P, and the antenna 2 is sterilized holding gauze enclosed in the inserted package P. By reading the gauze identification information stored in the IC tag T of G, the memory count of the sterilized retention gauze G is performed. On the other hand, the used gauze G that has been used in the operation and is dirty is inserted into the second storage unit 13 together with the gauze case 32, for example, while being put in the gauze case 32, and the antenna 3 is used. By reading the gauze identification information stored in the IC tag T of the used gauze G, the confirmation count of the used gauze G is performed. At this time, when the confirmation count of the used gauze G is performed in the second storage unit 13, the main body device 1 has the presence or absence of the sterile holding gauze G remaining in the first storage unit 12 when the confirmation count is performed. (Or give instructions to ask the nurse to perform the confirmation). If the sterilization holding gauze G remains in the first storage unit 12, the gauze identification information of the remaining sterilization holding gauze G is received and the confirmation count of the remaining sterilization holding gauze G is performed. In addition to this, the main body device 1 transmits a command to the desktop device 31 to confirm the presence of the unsealed gauze G remaining on the table of the desktop device 31, and the confirmation is made to the desktop device 31. 31 (or give instructions to the nurse to perform the confirmation). As a result, if there is an unsealed gauze G remaining on the mounting table, the tabletop device 31 receives the gauze identification information of the remaining unsealed gauze G and confirms the count of the remaining unsealed gauze G. Then, the received gauze identification information and the count result are transmitted to the main device 1. At the same time, the main device 1 receives and stores the gauze information D4 transmitted from the checkpoint terminal 33.
　そして、第２収納部１３において確認計数された使用済みガーゼＧの数が、第１収納部１２において記憶計数された滅菌保持ガーゼＧの数と上記ガーゼ情報Ｄ１として卓上装置３１から送信されてきた記憶計数された開封済みガーゼＧの数との合計数から、第２収納部１３における確認計数が行われた時点での卓上装置３１の載置台上の開封済みガーゼＧ及び第１収納部１２に滅菌保持ガーゼＧが残っていた場合のその数の合計数を差し引いた結果より少ない場合、手術室ＯＰ内のいずれかの位置に使用済みガーゼＧ等が残置されている可能性があることになる。このとき本体装置１は、第１収納部１２及び卓上装置３１において初めに又はその後の残置確認において読み取られた（記憶計数された）ガーゼ識別情報、並びに第２収納部１３における確認計数が行われた時点で卓上装置３１の載置台上において読み取られた（確認計数された）ガーゼ識別情報及び第１収納部１２にガーゼＧが残っていた場合に読み取られた（確認計数された）ガーゼ識別情報と、第２収納部１３において読み取られたガーゼ識別情報と、を比較し、その差、即ち第２収納部１３において読み取られずに手術室ＯＰ内に残置されている可能性のあるガーゼ識別情報を含むガーゼ情報Ｄ２を生成して、所定のタイミングでハンディ装置３０に送信する。なおこのときのガーゼ情報Ｄ２は、上記ガーゼ情報Ｄ４としてチェックポイントターミナル３３から送信されてくるガーゼ識別情報を参照しつつ生成される。これによりハンディ装置３０は、ガーゼ情報Ｄ２として受信したガーゼ識別情報が記憶されているＩＣタグＴを備える使用済みガーゼＧ等を、手術室ＯＰ内において探査する（若しくは、当該確認を看護師に行わせるための指示を告知する）。このときハンディ装置３０を操作する外回り看護師は、患者ＰＴの体内に使用済みガーゼＧが残置している可能性も考慮して、患者ＰＴの方向を含めて使用済みガーゼＧを探査する。探査すべき使用済みガーゼＧ等のＩＣタグＴに記憶されているガーゼ識別情報がハンディ装置３０により受信できた場合、ハンディ装置３０においてその旨を告知する。なお当該告知と合わせて、その旨及び受信したガーゼ識別情報をハンディ装置３０から本体装置１にガーゼ情報Ｄ３として送信し、本体装置１において当該ガーゼ識別情報の内容等を告知するように構成してもよい。 Then, the number of used gauze G confirmed and counted in the second storage unit 13 has been transmitted from the desktop device 31 as the number of sterilized holding gauze G stored and counted in the first storage unit 12 and the gauze information D1. From the total number of the opened gauze G stored and counted, in the opened gauze G and the first storage unit 12 on the mounting table of the tabletop device 31 at the time when the confirmation count in the second storage unit 13 is performed. When the total number of the sterilized holding gauze G remaining is less than the result of subtracting, the used gauze G or the like may be left in any position in the operating room OP. . At this time, the main device 1 performs gauze identification information read (stored and counted) in the first storage unit 12 and the desktop device 31 at the beginning or in the subsequent remaining confirmation, and the confirmation count in the second storage unit 13. The gauze identification information read (confirmed and counted) on the mounting table of the tabletop device 31 and the gauze identification information read (confirmed and counted) when the gauze G remains in the first storage unit 12 And the gauze identification information read in the second storage unit 13, and the difference, that is, the gauze identification information that may be left in the operating room OP without being read in the second storage unit 13. The included gauze information D2 is generated and transmitted to the handy device 30 at a predetermined timing. The gauze information D2 at this time is generated while referring to the gauze identification information transmitted from the checkpoint terminal 33 as the gauze information D4. As a result, the handy device 30 searches the operating room OP for the used gauze G including the IC tag T in which the gauze identification information received as the gauze information D2 is stored (or performs the confirmation to the nurse). To give instructions for At this time, the external nurse who operates the handy device 30 searches for the used gauze G including the direction of the patient PT in consideration of the possibility that the used gauze G remains in the body of the patient PT. When the gauze identification information stored in the IC tag T such as the used gauze G to be searched for can be received by the handy device 30, the handy device 30 notifies that fact. In addition to the notification, the fact that the gauze identification information and the received gauze identification information are transmitted from the handy device 30 to the main device 1 as the gauze information D3, and the main device 1 notifies the contents of the gauze identification information. Also good.
　なおここで、上記本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３それぞれにおける計数では、いずれも、同一のガーゼ識別情報を記憶しているガーゼＧについては、これら異なる装置で重複して計数されていたとしても、ガーゼＧの数としては「一枚」と計数される。 Here, in the counting in each of the main device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33, the gauze G storing the same gauze identification information is duplicated in these different devices. Even if it has been counted, the number of gauze G is counted as “one sheet”.
　ここで上記の実施形態では、例えば患者ＰＴの体内に挿入される開封済みガーゼＧのガーゼ識別情報をチェックポイントターミナル３３により読み取る構成としたが、これに加えて、患者ＰＴの体内から取り出された使用済みガーゼＧのガーゼ識別情報をもチェックポイントターミナル３３により読み取る構成としてもよい。この場合のガーゼ情報Ｄ４としては、上記挿入される開封済みガーゼＧのガーゼ識別情報と、体内から取り出された使用済みガーゼＧのガーゼ識別情報と、が含まれることとなる。そして上記ハンディ装置３０による探査との関係では、患者ＰＴの体内から取り出される際にチェックポイントターミナル３３により読み取られたガーゼ識別情報により識別される使用済みガーゼＧが、本体装置１の第２収納部１３内において確認計数できない場合に、それを探査の対象としてハンディ装置３０により探査するように構成する。言い換えれば、患者ＰＴの体内に挿入される際に開封済みガーゼＧとしてのガーゼ識別情報がチェックポイントターミナル３３により読み取られているものの、患者ＰＴの体内からの使用済みガーゼＧの取り出し段階でチェックポイントターミナル３３によりガーゼ識別情報が読み取られていない使用済みガーゼＧがある場合は、患者ＰＴの体内に未だその使用済みガーゼＧが残っていることとなるため、当該体内に残っている使用済みガーゼＧの識別情報を本体装置１にて告示する構成としても良いし、確認計数を行うタイミングが閉創前であれば、当該体内にある使用済みガーゼＧを回収する指示を本体装置１にて告示する構成としても良い。 Here, in the above-described embodiment, for example, the gauze identification information of the opened gauze G inserted into the body of the patient PT is read by the checkpoint terminal 33. In addition, the gauze identification information is taken out from the body of the patient PT. The gauze identification information of the used gauze G may also be read by the checkpoint terminal 33. In this case, the gauze information D4 includes the gauze identification information of the opened gauze G to be inserted and the gauze identification information of the used gauze G taken out from the body. In connection with the exploration by the handy device 30, the used gauze G identified by the gauze identification information read by the checkpoint terminal 33 when being taken out from the body of the patient PT is the second storage unit of the main body device 1. In the case where the confirmation count cannot be performed in 13, the search is performed by the handy device 30 as a search target. In other words, the gauze identification information as the opened gauze G is read by the checkpoint terminal 33 when inserted into the body of the patient PT, but the checkpoint is taken out at the stage of taking out the used gauze G from the body of the patient PT. When there is a used gauze G whose gauze identification information has not been read by the terminal 33, the used gauze G still remains in the body of the patient PT. Therefore, the used gauze G remaining in the body remains. It is good also as a structure which notifies the identification information of this in the main body apparatus 1, and the structure which notifies the instruction | indication which collects the used gauze G in the said body in the main body apparatus 1 if the timing which performs a confirmation count is before closure It is also good.
　なお、本体装置１の第２収納部１３における確認計数時において、使用済みガーゼＧの重量及び当該使用済みガーゼＧが吸収した血液量等を測定するべく、第２収納部１３に投入された使用済みガーゼＧ等の重量を測定する機能を本体装置１に持たせても良い。 In addition, at the time of the confirmation count in the 2nd storage part 13 of the main body apparatus 1, in order to measure the weight of the used gauze G, the blood volume which the said used gauze G absorbed, etc., the use put into the 2nd storage part 13 The main body device 1 may be provided with a function of measuring the weight of the finished gauze G or the like.
　より具体的には、第２収納部１３における確認計数の際に使用するガーゼ入れ３２は、その容量、若しくは予め設定された使用済みガーゼＧの投入可能枚数に使用済みガーゼＧの数が到達するまでは、使用済みガーゼＧを継ぎ足して投入することができる。しかしながらこの場合、例えば、手術の初期段階とその終了段階では、ガーゼ入れ３２内の内容物（使用済みガーゼＧを含む）の重量が減少している恐れがあり（つまり使用済みガーゼＧが吸収した血液等が、長い時間に若干蒸発している場合等である）、このことは、手術記録を正確に留めておくこと等を考慮すると好ましいことではない。 More specifically, the number of used gauze G reaches the capacity of the gauze holder 32 used for the confirmation counting in the second storage unit 13 or the preset number of used gauze G that can be inserted. Up to this point, the used gauze G can be added and introduced. In this case, however, the weight of the contents (including the used gauze G) in the gauze container 32 may be reduced (that is, the used gauze G absorbed) in the initial stage and the end stage of the operation. This is not preferable in view of keeping accurate surgical records, etc.).
　そのため、使用済みガーゼＧの投入量が最大になるまでに複数回の確認計数を行う場合は、その都度の重量を記憶させておき、最新の確認計数の際には、前回の確認計数時の若しくは当該ガーゼ入れ３２の初回の確認計数時から前回の確認計数時までの重量の使用済みガーゼＧ（それに染み込んだ液体等を含む）がガーゼ入れ３２にあると仮定し、当該確認計数時に投入した使用済みガーゼＧと、当該使用済みガーゼＧが吸収した血液量と、を正しく測定するための補正機能を持たせても良い。またその際、予め使用済みガーゼＧのみの重量を測定しておき、これを本体装置１に記憶させておけば、使用済みガーゼＧの重量を除いた血液量等の重量を正確に割り出すことが可能である。なお上記補正機能として例えば、直近で第２収納部１３にて測定したガーゼ入れ３２内の内容物の重量を測定／記憶しておき、その次に使用済みガーゼＧが追加されて改めて重量を測定する際には、新たな使用済みガーゼＧを追加する直前のガーゼ入れ３２内の内容物の重量を測定／記憶し、前回の測定結果との比較をすることによって、上記重量減少による誤差を無視して、その都度、使用済みガーゼＧの重量を測定できる。具体的には、第２収納部１３にて内容物の重量を測定／記憶する際は、第２収納部１３に備えられた後述する蓋（後述する図５記載の蓋１５）を閉めて行い、その次に新たな使用済みガーゼＧを追加する直前のガーゼ入れ３２内の内容物の重量を測定／記憶する際は、第２収納部１３に備えられた蓋を開けた際に行うように構成することができる。なおこのとき、副次的に上記重量減少がどの程度であったかを確認することもできる。 Therefore, when performing multiple confirmation counts until the amount of used gauze G is maximized, the weight of each time is stored, and the latest check count is the same as the previous check count. Alternatively, it is assumed that the gauze holder 32 has used gauze G having a weight from the time of the first confirmation count of the gauze holder 32 to the time of the previous check count (including the liquid soaked in the gauze holder 32). A correction function for correctly measuring the used gauze G and the amount of blood absorbed by the used gauze G may be provided. At that time, if the weight of only the used gauze G is measured in advance and stored in the main device 1, the weight such as the blood volume excluding the weight of the used gauze G can be accurately determined. Is possible. As the correction function, for example, the weight of the contents in the gauze container 32 measured at the second storage unit 13 most recently is measured / stored, and then the used gauze G is added to measure the weight again. When measuring, the weight of the contents in the gauze container 32 immediately before the addition of a new used gauze G is measured / stored and compared with the previous measurement result, thereby ignoring the error due to the weight reduction. Thus, the weight of the used gauze G can be measured each time. Specifically, when measuring / storing the weight of the contents in the second storage unit 13, a lid (described later in FIG. 5) provided in the second storage unit 13 is closed. Then, when measuring / storing the weight of the contents in the gauze container 32 immediately before adding a new used gauze G, it is performed when the lid provided in the second storage unit 13 is opened. Can be configured. At this time, it is also possible to confirm how much the weight reduction is secondary.
　次に、図２に示すガーゼ計数システムＳにおけるガーゼＧの取り扱いについて、具体的に例示しつつ説明する。 Next, handling of the gauze G in the gauze counting system S shown in FIG. 2 will be described with specific examples.
　先ず、パッケージＰに封入されて手術室ＯＰに持ち込まれた滅菌保持ガーゼＧは、本体装置１の第１収納部１２に投入され、アンテナ２によりそれぞれのＩＣタグＴに記憶されているガーゼ識別情報が無線により読み取られることにより、その数の記憶計数が行われる（図２符号Ｓ１参照）。この時読み取られたガーゼ識別情報及び計数結果は、本体装置１内に記憶される。この後、数えられた滅菌保持ガーゼＧは、不潔野の外回り看護師が当該滅菌保持ガーゼＧ及びパッケージＰの内側に触れないようにしてパッケージＰが開封されて、清潔野ＡＲ内のガーゼ台上に展開されて開封済みガーゼＧとなる（図２符号Ｓ３参照）。 First, the sterilization holding gauze G enclosed in the package P and brought into the operating room OP is put into the first storage unit 12 of the main body device 1 and is stored in each IC tag T by the antenna 2. Is read wirelessly, and that number is stored and counted (see S1 in FIG. 2). The gauze identification information and the count result read at this time are stored in the main unit 1. After this, the counted sterile holding gauze G is opened on the gauze table in the clean field AR so that the nurse around the unclean field does not touch the inside of the sterile holding gauze G and the package P. To open gauze G (see S3 in FIG. 2).
　一方、手術室ＯＰに持ち込まれた滅菌保持ガーゼＧは、不潔野の外回り看護師が当該滅菌保持ガーゼＧ及びパッケージＰの内側に触れないようにしてパッケージＰが開封され、清潔野ＡＲ内の卓上装置３１の載置台上に載置されて開封済みガーゼＧとなっても良い（図２符号Ｓ２参照）。この場合に卓上装置３１は、載置され開封済みガーゼＧのＩＣタグＴに記憶されているガーゼ識別情報を読み取ることにより載置された開封済みガーゼＧの記憶計数を行う。この計数結果は、ガーゼ情報Ｄ１として所定のタイミングで本体装置１に送信される。 On the other hand, the sterilized holding gauze G brought into the operating room OP is opened on the table in the clean field AR so that the nurse around the unclean field does not touch the inside of the sterilized holding gauze G and the package P. It may be placed on the mounting table of the device 31 to form an unsealed gauze G (see S2 in FIG. 2). In this case, the tabletop device 31 performs a storage count of the opened gauze G that is placed by reading the gauze identification information that is placed and stored in the IC tag T of the opened gauze G. This counting result is transmitted to the main device 1 at a predetermined timing as gauze information D1.
　次に、卓上装置３１を含むガーゼ台に展開された開封済みガーゼＧは、必要に応じて手術に使用される（図２符号Ｓ４参照）。このとき、例えば患者ＰＴの体内に挿入される開封済みガーゼＧは、例えば一枚ずつ移動され、チェックポイントターミナル３３上を通過して患者ＰＴの体内に挿入されるため、当該通過時にチェックポイントターミナル３３によりそのＩＣタグＴに記憶されているガーゼ識別情報が読み取られ、ガーゼ情報Ｄ４として本体装置１に送信される。その後、手術において使用されることで汚れた使用済みガーゼＧは、図２符号Ｇ１として示すように通常はガーゼ入れ３２に投入される（図２符号Ｓ６参照）が、場合によっては、図２符号Ｇ２として示すように手術室ＯＰの床に落とされる場合もある（図２符号Ｓ７参照）。 Next, the unsealed gauze G developed on the gauze table including the desktop device 31 is used for surgery as necessary (see S4 in FIG. 2). At this time, for example, the opened gauze G to be inserted into the body of the patient PT is moved, for example, one by one, passes over the checkpoint terminal 33 and is inserted into the body of the patient PT. 33 reads the gauze identification information stored in the IC tag T and transmits it to the main device 1 as gauze information D4. After that, the used gauze G that has become dirty due to use in surgery is normally put into the gauze case 32 (see S6 in FIG. 2) as shown in FIG. It may be dropped on the floor of the operating room OP as indicated by G2 (see S7 in FIG. 2).
　次に、ガーゼ入れ３２に投入された使用済みガーゼＧは、ガーゼ入れ３２ごと本体装置１の第２収納部１３に投入され、アンテナ３によりそれぞれのＩＣタグＴに記憶されているガーゼ識別情報が無線により読み取られることにより、その数の確認計数が行われる（図２符号Ｓ９参照）。この時読み取られたガーゼ識別情報及び計数結果は、本体装置１内に記憶される。 Next, the used gauze G put into the gauze case 32 is put into the second storage unit 13 of the main body device 1 together with the gauze case 32, and the gauze identification information stored in each IC tag T by the antenna 3 is stored. The confirmation count of the number is performed by reading by radio | wireless (refer code | symbol S9 of FIG. 2). The gauze identification information and the count result read at this time are stored in the main unit 1.
　そして、図２符号Ｓ９で示した動作に対応して第２収納部１３において確認計数された使用済みガーゼＧの数が、図２符号Ｓ１で示した第１収納部１２において記憶計数された滅菌保持ガーゼＧの数とガーゼ情報Ｄ１として卓上装置３１から送信されてきた記憶計数の結果（卓上装置３１において記憶計数された開封済みガーゼＧの数）との合計数から、第２収納部１３における確認計数が行われた時点で卓上装置３１の載置台上に開封済みガーゼＧが残っていた場合及び第１収納部１２に滅菌保持ガーゼＧが残っていた場合のそれらの数の合計数を差し引いた結果より少ない場合、本体装置１は、上記ガーゼ情報Ｄ４として受信したガーゼ識別情報を参照しつつ、上記ガーゼ情報Ｄ２を生成して所定のタイミングでハンディ装置３０に送信する。これによりハンディ装置３０は、ガーゼ情報Ｄ２として受信したガーゼ識別情報が記憶されているＩＣタグＴを備える使用済みガーゼＧ等を、手術室ＯＰ内において探査する。必要な使用済みガーゼＧ等が探査されてハンディ装置３０において告知されたら、ハンディ装置３０を操作する外回り看護師は、当該告知に基づいて、例えば落とされている使用済みガーゼＧ２を拾い上げてガーゼ入れ３２に投入する（図２符号Ｓ８参照）。その後ガーゼ入れ３２は本体装置１の第２収納部１３に再度投入され、その中の使用済みガーゼＧについて確認計数が行われる。以上の動作は、第２収納部１３において確認計数が行われた使用済みガーゼＧの数が、第１収納部１２において記憶計数が行われた滅菌保持ガーゼＧの数とガーゼ情報Ｄ１として卓上装置３１から送信されてきた上記記憶計数の結果との合計数から、第２収納部１３における確認計数が行われた時点で卓上装置３１の載置台上に開封済みガーゼＧが残っていた場合及び第１収納部１２に滅菌保持ガーゼＧが残っていた場合のそれらの数の合計数を差し引いた結果と等しくなるまで繰り返される（後述の、図７に示すフローチャートに係る「後追い機能」参照）。 The number of used gauze G confirmed and counted in the second storage unit 13 corresponding to the operation shown in FIG. 2 code S9 is stored and counted in the first storage unit 12 shown in FIG. From the total number of the retained gauze G and the memory count result (number of unsealed gauze G memorized and counted in the tabletop device 31) transmitted from the tabletop device 31 as the gauze information D1, in the second storage unit 13 When the confirmation count is performed, the total number of the cases when the unsealed gauze G remains on the table of the tabletop device 31 and when the sterilized holding gauze G remains in the first storage unit 12 is subtracted. If the result is smaller, the main device 1 generates the gauze information D2 while referring to the gauze identification information received as the gauze information D4, and sends it to the handy device 30 at a predetermined timing. To. Accordingly, the handy device 30 searches the operating room OP for the used gauze G including the IC tag T in which the gauze identification information received as the gauze information D2 is stored. When the necessary used gauze G or the like is searched and notified in the handy device 30, the outside nurse operating the handy device 30 picks up the used gauze G2 that has been dropped, for example, and inserts the gauze based on the notification 32 (see S8 in FIG. 2). After that, the gauze container 32 is again put into the second storage unit 13 of the main body device 1, and the confirmation count is performed on the used gauze G therein. In the above operation, the number of used gauze G for which the confirmation count has been performed in the second storage unit 13 is the tabletop apparatus as the number of the sterilized holding gauze G for which the storage count has been performed in the first storage unit 12 and the gauze information D1. When the gauze G that has been opened remains on the mounting table of the tabletop device 31 at the time when the confirmation counting in the second storage unit 13 is performed from the total number with the result of the storage count transmitted from 31 and The process is repeated until the result is equal to the result of subtracting the total number of the sterilization-holding gauze G remaining in one storage section 12 (see “follow-up function” according to the flowchart shown in FIG. 7 described later).
　ここで、実施形態に係る第１収納部１２及び第２収納部１３に収納されたガーゼＧを無線により計数する本体装置１と、使用済みガーゼＧのガーゼ識別情報を無線により読み取って告知する携帯可能なハンディ装置３０と、載置台上に載置された開封済みガーゼＧを無線により計数する卓上装置３１と、通過する開封済みガーゼＧのガーゼ識別情報を読み取るチェックポイントターミナル３３とを用いた上述してきた一連のカウント業務は、手術の開始時（例えば麻酔開始前）、終了時（例えば閉腹前）に限らず、医療スタッフの交代時、手術の経過時間による時（例えば１時間毎）及び手術の術式によっては特定の手技を行う時など、種々のタイミングで行われることが、ガーゼＧの計数に係る安全管理上も望ましい。その際、患者ＰＴの体内にガーゼＧが置き忘れられることが無いよう万全を期すために、どのガーゼＧがどこに何枚所在しているのかを確認するのと同時に、手術の進行の妨げにならないよう迅速に行われる必要があるが、上記のように本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３の四点の装置を組み合わせることによって、これらの実現が可能となる。 Here, the main body device 1 that wirelessly counts the gauze G stored in the first storage unit 12 and the second storage unit 13 according to the embodiment, and the portable device that wirelessly reads and notifies the gauze identification information of the used gauze G. The above-described handy device 30, the tabletop device 31 that wirelessly counts the opened gauze G placed on the mounting table, and the checkpoint terminal 33 that reads the gauze identification information of the opened gauze G passing therethrough. A series of counting operations that have been performed are not limited to the start of surgery (for example, before the start of anesthesia) and the end of the operation (for example, before abdominal ablation), Depending on the surgical technique, it is desirable for safety management related to gauze G counting to be performed at various timings, such as when performing a specific procedure. At that time, in order to ensure that the gauze G is not left in the patient's PT, it is possible to confirm which gauze G is located where and how many gauze G are present, and at the same time, it does not interfere with the progress of the operation. Although it needs to be performed quickly, these can be realized by combining the four devices of the main device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33 as described above.
　次に、上記カウント業務の結果としての上記確認計数が実行されたことを事後的に確認するための、実施形態に係るガーゼ計数システムＳにおける動作について、図２及び図３を用いて説明する。 Next, the operation of the gauze counting system S according to the embodiment for confirming that the confirmation counting as a result of the counting operation has been executed will be described with reference to FIGS.
　実施形態に係るカウント業務は、上述したように、一つの手術における種々のタイミングで実行されることが求められる。そこで実施形態に係るガーゼ計数システムＳでは、手術中におけるガーゼＧの計数のための一回の上記タイムアウトに必要とされる時間を「計数時間」として予め設定して、本体装置１の後述するメモリ１８に記録しておく。この計数時間自体は、手術を行う医師や病院等のやり方に応じて所定の時間が予め設定されるものであるが、具体的には、例えば１５分とされる。そして実施形態では、手術中における当該計数時間の経過ごとに、直前の当該計数時間内に行われた上記カウント業務における確認計数の結果をメモリ１８に不揮発性に記録することを、例えば手術が終了するまで繰り返す。このとき、各確認計数の結果は、当該確認計数が実行された計数時間に関連付けて記憶される。ここで、上記メモリ１８が本発明に係る保持手段の一例及び時間記憶手段の一例にそれぞれ相当する。 As described above, the counting work according to the embodiment is required to be executed at various timings in one operation. Therefore, in the gauze counting system S according to the embodiment, a time required for one time-out for counting the gauze G during the operation is set in advance as a “counting time”, and a memory described later of the main body device 1 is used. 18 is recorded. The counting time itself is set in advance according to the manner of the doctor performing the operation, the hospital, or the like, and specifically, for example, 15 minutes. In the embodiment, for every lapse of the counting time during the operation, the result of the confirmation counting in the counting operation performed within the immediately preceding counting time is recorded in the memory 18 in a nonvolatile manner, for example, the operation is completed. Repeat until At this time, the result of each confirmation count is stored in association with the counting time when the confirmation count is executed. Here, the memory 18 corresponds to an example of a holding unit and an example of a time storage unit according to the present invention.
　即ち、例えば図３に例示するように、横軸で示される手術時間に応じて当該手術時間を上記計数時間ごとに時刻Ｔ１、時刻Ｔ２、時刻Ｔ３、…、時刻Ｔ８、…として予め区分する。なお以下の説明において、時刻Ｔ１、時刻Ｔ２、時刻Ｔ３、…について共通的に説明する場合、単に「時刻Ｔ」と称する。そしてメモリ１８は、当該各時刻Ｔを示すデータを、例えば不揮発性に記憶する。この結果、各計数時間を示すデータが、それらの境界時刻である各時刻Ｔを示すデータとして記憶されることになる。その後、各時刻Ｔを基準として、その直前の計数時間において上記カウント業務が行われた場合、その結果としての確認計数の結果を、当該確認計数が実行された計数時間に関連付けて、メモリ１８に例えば不揮発性に記憶する。そして、記憶された各確認計数の結果を、手術中又は手術後の所定のタイミングで、例えば外回り看護師の操作により、例えば後述する表示部１７において一覧表的に表示する。このとき、上記表示部１７が本発明に係る告知手段の一例及び警告手段の一例にそれぞれ相当する。またメモリ１８は、後述する警告等を行うまでそれへの電源供給が停止しないのであれば、揮発性のメモリであってもよい。 That is, for example, as illustrated in FIG. 3, according to the operation time indicated on the horizontal axis, the operation time is divided into time T1, time T2, time T3,..., Time T8,. In the following description, when time T1, time T2, time T3,... Are described in common, they are simply referred to as “time T”. The memory 18 stores the data indicating each time T in a nonvolatile manner, for example. As a result, data indicating each counting time is stored as data indicating each time T which is a boundary time between them. Thereafter, when the above counting operation is performed in the immediately preceding counting time with each time T as a reference, the result of the confirmation counting is associated with the counting time in which the confirmation counting is performed in the memory 18. For example, it is stored in a nonvolatile manner. And the result of each confirmation count memorize | stored is displayed on the display part 17 mentioned later, for example by a list at the predetermined timing during an operation or after an operation, for example by operation of an external rotation nurse. At this time, the display unit 17 corresponds to an example of a notification unit and an example of a warning unit according to the present invention. Further, the memory 18 may be a volatile memory as long as the power supply to the memory 18 does not stop until a warning or the like described later is performed.
　より具体的に例えば、手術開始から図３に例示する時刻Ｔ１までの計数時間、及び時刻Ｔ７から時刻Ｔ８までの計数時間ではカウント業務が実行されず、その他の計数時間でカウント業務がそれぞれ行われた場合、その確認計数の結果（その時点でのカウント業務により計数された実数）を、例えば手術後に図３に示す態様で表示部１７に表示する。 More specifically, for example, the counting operation is not performed at the counting time from the start of surgery to the time T1 illustrated in FIG. 3 and the counting time from the time T7 to the time T8, and the counting operation is performed at other counting times. In this case, the result of the confirmation count (the real number counted by the counting work at that time) is displayed on the display unit 17 in the manner shown in FIG.
　また本体装置１では、メモリ１８に記憶された確認係数の結果を手術中監視する。 In the main device 1, the result of the confirmation coefficient stored in the memory 18 is monitored during the operation.
　ここで、あるタイミングでの全てのガーゼＧの所在が、そのタイミングが含まれる計数時間におけるカウント業務において確認できるとは限らない。そこで実施形態に係るガーゼ計数システムＳでは、各計数時間における確認計数の結果（実数）が、その時点でのガーゼＧの総数から予め設定された所定数（以下の説明では、当該所定数を「閾値数」と称する）を減じた数以上であれば、上記タイムアウトと見做し得るカウント業務がその計数時間内に実行されたと考えるものとする。この場合の閾値数としては、例えば、その計数時間（出血が多いときにタイムアウトが実行されることはないため、出血時の計数時間は除かれる）において患者ＰＴの体内に入っていると推測されるガーゼＧの最大数（例えば２０枚）とすることが考えられる。この閾値数は、例えば術式や執刀医によって変わる数であるため、例えば手術開始時に本体装置１において任意に設定可能とすればよい。 Here, the location of all the gauze G at a certain timing may not be confirmed in the counting operation at the counting time including the timing. Therefore, in the gauze counting system S according to the embodiment, the result of confirmation counting (real number) in each counting time is a predetermined number set in advance from the total number of gauze G at that time (in the following description, the predetermined number is expressed as “ If it is equal to or greater than the number obtained by subtracting the threshold number), it is assumed that the counting operation that can be regarded as the timeout is executed within the counting time. As the threshold number in this case, for example, it is estimated that the patient PT is in the body of the patient during the counting time (the time-out is not executed when there is much bleeding, so the counting time during bleeding is excluded). The maximum number of gauze G (for example, 20 sheets) is considered. Since the threshold number is a number that varies depending on, for example, the surgical procedure or the surgeon, for example, it may be arbitrarily set in the main device 1 at the start of the operation.
　そして実施形態に係る本体装置１では、計数時間ごとの確認計数の結果が、各確認計数の時点でのガーゼＧの総数から上記閾値数を減じた数以上であった確認計数が、一つの手術において一度もなかった場合、言い換えれば、上記タイムアウトと見做し得る確認計数が手術中において一度も行われなかった場合、本体装置１は、予定されている手術の終了時刻前等において、その旨の警告を、例えば表示部１７を用いた表示、又は図示しないスピーカを介した警告音の放音により行う。これにより、少なくとも一回のタイムアウトの実行が一つの手術において確保されることになる。このとき、手術中における所定の一定時間（例えば一時間）に上記タイムアウトと見做し得る確認計数が行われなかった場合に、その旨の警告を、上記表示部１７を用いた表示又は上記警告音の放音により行うように構成してもよい。また本体装置１は、この警告を、例えば手術が半分終了した時点でそれまでの計数時間を対象として行ってもよい。更に、一つの計数時間が経過する度に、それ以前の一部又は全ての計数時間を対象として上記警告を行うように構成することもできる。更にまた、連続する二つの計数時間それぞれにおける確認計数（二回の確認計数）が、一つの計数時間に相当する時間（実施形態の場合は例えば１５分）内に行われた場合であって、これら二つの確認計数の合計がガーゼＧの総数から上記閾値数を減じた数以上であったとき、本体装置１が上記タイムアウトと見做し得る確認計数が実行されたと認識するように構成してもよい。また本体装置１は、計数時間ごとの確認計数の結果が、その計数時間の時点でのガーゼＧの総数に対して予め設定された閾値割合（例えば８０％であるが、例えば医師ごと、或いは病院ごとに所定とされる）以上であった確認計数を、上記タイムアウトと見做し得る確認計数としてもよい。 In the main body device 1 according to the embodiment, the result of the confirmation count for each counting time is equal to or more than the number obtained by subtracting the threshold number from the total number of gauze G at the time of each confirmation count. In other words, in other words, if the confirmation count that can be regarded as the above-mentioned time-out has never been performed during the operation, the main device 1 confirms that before the scheduled end time of the operation. This warning is performed by, for example, display using the display unit 17 or emitting a warning sound through a speaker (not shown). As a result, at least one timeout is ensured in one operation. At this time, when a confirmation count that can be regarded as the time-out is not performed during a predetermined fixed time (for example, one hour) during the operation, a warning to that effect is displayed using the display unit 17 or the warning. You may comprise so that it may be performed by sound emission. Further, the main body device 1 may perform this warning for the counting time up to that point when, for example, half of the surgery is completed. Further, it may be configured such that each time one counting time elapses, the warning is performed for a part or all of the previous counting time. Furthermore, the confirmation count (two confirmation counts) in each of two consecutive counting times is performed within a time corresponding to one counting time (for example, 15 minutes in the embodiment), When the sum of these two confirmation counts is equal to or greater than the total number of gauze G minus the threshold number, the main unit 1 recognizes that the confirmation count that can be regarded as the timeout has been executed. Also good. In addition, the main unit 1 has a threshold ratio (for example, 80% that is set in advance with respect to the total number of the gauze G at the time of the counting time as a result of the confirmation counting for each counting time. The confirmation count that is greater than or equal to a predetermined value) may be a confirmation count that can be regarded as the timeout.
　更に本体装置１は、計数時間ごとの確認計数の結果がその計数時間の時点でのガーゼＧの総数から上記閾値数を減じた数以上であった確認計数が行われた場合、その回数をメモリ１８に記憶しておき、これを事後的に例えば表示部１７に表示してもよい。またこの場合、計数時間ごとの確認計数の結果がゼロでない場合の回数（即ち、上記閾値数とは無関係に、実質的な確認計数が行われた回数）をメモリ１８に記憶しておき、これを事後的に例えば表示部１７に表示してもよい。 Furthermore, the main device 1 stores the number of times of confirmation when the result of confirmation count for each count time is equal to or greater than the total number of gauze G at the time of the count time minus the threshold number. 18 may be stored and displayed on the display unit 17 afterwards. Further, in this case, the number of times when the result of the confirmation count for each counting time is not zero (that is, the number of times the substantial confirmation count is performed irrespective of the threshold number) is stored in the memory 18, and this is stored. May be displayed on the display unit 17 afterwards.
　また本体装置１は、卓上装置３１、チェックポイントターミナル３３及びハンディ装置３０からそれぞれ送信されてくる上記ガーゼ情報Ｄ１、ガーゼ情報Ｄ３及びガーゼ情報Ｄ４を用いれば、当該卓上装置３１等において計数されたガーゼＧを、当該卓上装置３１等ごとに識別することができる。そこで本体装置１は、例えば図４に例示するように、ガーゼ識別情報としての例えばガーゼ番号ごとに、当該ガーゼＧが最後に計数された装置（上記卓上装置３１、チェックポイントターミナル３３又はハンディ装置３０のいずれか）を識別可能に表示するように構成してもよい。 Further, the main device 1 uses the gauze information D1, the gauze information D3, and the gauze information D4 transmitted from the desktop device 31, the checkpoint terminal 33, and the handy device 30, respectively, so that the gauze counted in the desktop device 31 or the like is used. G can be identified for each desktop device 31 or the like. Therefore, as illustrated in FIG. 4, for example, the main body device 1 is a device (for example, the desktop device 31, the checkpoint terminal 33, or the handy device 30) in which the gauze G is finally counted for each gauze number as gauze identification information. Any of the above may be displayed in an identifiable manner.
　例えば図４に例示する場合、ガーゼ番号「１」からガーゼ番号「７」までのガーゼＧが本体装置１の第２収納部１３内において最後に計数されたことが表示されており、これによりガーゼ番号「１」からガーゼ番号「７」までのガーゼＧは「使用済」として本体装置１の第２収納部１３内に格納されていることになる。またこれらガーゼ番号「１」からガーゼ番号「７」までのガーゼＧは、手術の進捗によって、本体装置１の第１収納部１２において最初に計数され、その後、卓上装置３１及びチェックポイントターミナル３３においてそれぞれ計数された後、最終的に本体装置１の第２収納部１３内において計数されたことになる。なおこの場合、図４に例示する表示領域１７Ａのハッチング部分に、例えば「使用済」或いは「ゴミ箱」と表示するように構成してもよい。 For example, in the case illustrated in FIG. 4, it is displayed that the gauze G from the gauze number “1” to the gauze number “7” is finally counted in the second storage unit 13 of the main body device 1. The gauze G from the number “1” to the gauze number “7” is stored in the second storage unit 13 of the main device 1 as “used”. Further, the gauze G from the gauze number “1” to the gauze number “7” is first counted in the first storage unit 12 of the main body device 1 according to the progress of the operation, and then in the tabletop device 31 and the checkpoint terminal 33. After being counted, each is finally counted in the second storage unit 13 of the main body device 1. In this case, for example, “used” or “trash can” may be displayed in the hatched portion of the display area 17A illustrated in FIG.
　一方図４において、ガーゼ番号「８」からガーゼ番号「１０」までのガーゼＧについては、チェックポイントターミナル３３において最後に計数されたことが表示されているが、この場合のガーゼ番号「８」からガーゼ番号「１０」までのガーゼＧは、今現在手術に使われて患者ＰＴの体内に存在している可能性が高いことになる。またこれらガーゼ番号「８」からガーゼ番号「１０」までのガーゼＧは、手術の進捗によって、本体装置１の第１収納部１２において最初に計数され、その後卓上装置３１において計数された後、チェックポイントターミナル３３において計数されて手術に用いられていることになる。なおこの場合、図４に例示する表示領域１７Ｂのハッチング部分に、例えば「使用中」と表示するように構成してもよい。 On the other hand, in FIG. 4, it is displayed that the gauze G from the gauze number “8” to the gauze number “10” is counted last in the checkpoint terminal 33. It is highly likely that the gauze G up to the gauze number “10” is currently used in the operation and exists in the patient PT. Further, the gauze G from the gauze number “8” to the gauze number “10” is first counted in the first storage unit 12 of the main body device 1 and then counted in the tabletop device 31 according to the progress of the operation. It is counted at the point terminal 33 and used for surgery. In this case, for example, “in use” may be displayed in the hatched portion of the display area 17B illustrated in FIG.
　更に図４において、ガーゼ番号「１１」からガーゼ番号「１５」までのガーゼＧについては、卓上装置３１において最後に計数されたことが表示されているが、この場合のガーゼ番号「１１」からガーゼ番号「１５」までのガーゼＧは、卓上装置３１上において開封済みガーゼＧの状態とされていることになる。またこれらガーゼ番号「１１」からガーゼ番号「１５」までのガーゼＧは、本体装置１の第１収納部１２において最初に計数され、その後卓上装置３１において計数され、以降順次、手術に用いられることになる。なおこの場合、図４に例示する表示領域１７Ｃのハッチング部分に、例えば「開封済」と表示するように構成してもよい。 Further, in FIG. 4, it is displayed that the gauze G from the gauze number “11” to the gauze number “15” is counted last in the tabletop device 31. The gauze G up to the number “15” is in the state of the opened gauze G on the tabletop device 31. Further, the gauze G from the gauze number “11” to the gauze number “15” is first counted in the first storage unit 12 of the main body device 1 and then counted in the tabletop device 31, and thereafter used sequentially in the operation. become. In this case, for example, “opened” may be displayed in the hatched portion of the display area 17C illustrated in FIG.
　最後に図４において、ガーゼ番号「１６」からガーゼ番号「２０」までのガーゼＧについては、本体装置１の第１収納部１２内でのみ計数されたことが表示されているが、この場合のガーゼ番号「１６」からガーゼ番号「２０」までのガーゼＧは上記滅菌保持ガーゼＧであり、以降順次、卓上装置３１等を経て手術に用いられることになる。なおこの場合、図４に例示する表示領域１７Ｄのハッチング部分に、例えば「未開封」又は「滅菌保持」と表示するように構成してもよい。 Finally, in FIG. 4, it is displayed that the gauze G from the gauze number “16” to the gauze number “20” is counted only in the first storage unit 12 of the main body device 1. The gauze G from the gauze number “16” to the gauze number “20” is the sterilized holding gauze G, and will be used for the operation sequentially through the tabletop device 31 and the like. In this case, for example, “unopened” or “sterilization hold” may be displayed in the hatched portion of the display region 17D illustrated in FIG.
　次に、実施形態に係る本体装置１の具体的な構成について、図５に例示しつつ説明する。 Next, a specific configuration of the main device 1 according to the embodiment will be described with reference to FIG.
　図５にそれぞれ示すように、本体装置１には、その内部に、上記アンテナ２を備えた第１収納部１２と、上記アンテナ３を備えた第２収納部１３と、を別個に備えており、その全体は下部四隅の脚２０により支持されている。 As shown in FIG. 5, the main body device 1 is separately provided with a first storage portion 12 including the antenna 2 and a second storage portion 13 including the antenna 3 therein. The whole is supported by legs 20 at the lower four corners.
　第１収納部１２には、取っ手１１を持って手前に引き出せる投入口１０が備えられており、当該投入口１０を手前に引き出してパッケージＰを投入し、その後投入口１０を元の位置に戻すことでパッケージＰが第１収納部１２に収納される。その後、投入されたパッケージＰ内の滅菌保持ガーゼＧのＩＣタグＴに記憶されたガーゼ識別情報がアンテナ２により読み取られ、当該滅菌保持ガーゼＧの記憶計数が行われる。 The first storage unit 12 is provided with a loading port 10 that can be pulled out with the handle 11. The loading port 10 is pulled out toward the front, the package P is loaded, and then the loading port 10 is returned to its original position. Thus, the package P is stored in the first storage unit 12. Thereafter, the gauze identification information stored in the IC tag T of the sterilization holding gauze G in the inserted package P is read by the antenna 2 and the storage count of the sterilization holding gauze G is performed.
　一方、第２収納部１３には、取っ手１４を持って上方に引き上げることによりヒンジ１６を中心として回転する蓋１５が備えられており、この蓋１５を上方に引き上げることにより第２収納部１３が開口される。開口された第２収納部１３には、例えば上記ガーゼ入れ３２ごと、使用済みガーゼＧが投入される。その後、投入されたガーゼ入れ３２内の使用済みガーゼＧのＩＣタグＴに記憶されたガーゼ識別情報がアンテナ３により読み取られ、当該使用済みガーゼＧの確認計数が行われる。 On the other hand, the second storage portion 13 is provided with a lid 15 that rotates around the hinge 16 by pulling upward with the handle 14, and the second storage portion 13 is lifted by lifting the lid 15 upward. Opened. For example, the used gauze G is put into the opened second storage portion 13 together with the gauze case 32. Thereafter, the gauze identification information stored in the IC tag T of the used gauze G in the inserted gauze container 32 is read by the antenna 3, and the confirmation count of the used gauze G is performed.
　そして、アンテナ２及びアンテナ３を用いた計数結果は、当該計数に用いられたガーゼ識別情報と共に本体装置１内部の上記メモリ１８に不揮発性に記憶され、更に必要に応じて、例えば図２に例示する態様により本体装置１上部の液晶ディスプレイ等からなる上記表示部１７に表示され、例えば外回り看護師に告知される。 Then, the counting results using the antenna 2 and the antenna 3 are stored in a nonvolatile manner in the memory 18 inside the main unit 1 together with the gauze identification information used for the counting. Further, for example, as shown in FIG. In such a manner, the information is displayed on the display unit 17 including a liquid crystal display or the like on the upper part of the main device 1 and is notified to, for example, the outside nurse.
　なお、本体装置１の底部下面には、開口部２２につま先を挿入することによりオンとなる例えば赤外線式のフットスイッチ２１が備えられている。そして実施形態に係る本体装置１は、取っ手１４を持って蓋１５を手動で開けて第２収納部１３を開口させる他に、例えば蓋１５が閉じているときにフットスイッチ２１がオンとされると当該蓋１５が自動的に図２に破線で示す位置まで回転することで第２収納部１３を開口させ、その後第２収納部１３内にガーゼ入れ３２ごと使用済みガーゼＧが収納されたら再度フットスイッチ２１がオンとされることで、自動的に蓋１５が閉じられると共に当該ガーゼ入れ３２内の使用済みガーゼＧの確認計数が開始されるように構成することもできる。 Note that, for example, an infrared foot switch 21 that is turned on by inserting a toe into the opening 22 is provided on the bottom lower surface of the main unit 1. In the main body device 1 according to the embodiment, the foot switch 21 is turned on, for example, when the lid 15 is closed, in addition to opening the second storage unit 13 by manually opening the lid 15 with the handle 14. And the lid 15 automatically rotates to the position shown by the broken line in FIG. 2 to open the second storage portion 13, and then when the used gauze G is stored in the second storage portion 13 together with the gauze case 32, the second storage portion 13 is opened again. When the foot switch 21 is turned on, the lid 15 can be automatically closed and the confirmation count of the used gauze G in the gauze container 32 can be started.
　次に、実施形態に係るチェックポイントターミナル３３の具体的な構成について、図６に例示しつつ説明する。 Next, a specific configuration of the checkpoint terminal 33 according to the embodiment will be described with reference to FIG.
　先ず第１例として図６（ａ）に示すように、チェックポイントターミナル３３は、本体４０と、電源ユニットＰＵと、が接続線４３により接続された構成を備えている。このとき本体４０は、手術に用いられる開封済みガーゼＧが例えば患者ＰＴの体内に挿入される際に通過する上記清潔野ＡＲ内に配置され、一方電源ユニットＰＵは不潔野に配置される。これは、電源ユニットＰＵを清潔野ＡＲに置くことは、そもそもスペースの制限があることや、手術の妨げになることから不潔野（例えば床）に置かざるを得ないことによる。更に、仮に清潔野ＡＲに置くとすると、例えば、滅菌済みのカバーを被せる等の処置が必要になり、その際には後述する電池４４及び電池４５の交換ができなくなるという事情による。そして本体４０には、傍を通過する上記開封済みガーゼＧのＩＣタグＴに記憶されているガーゼ識別情報を読み取る例えば平面状のアンテナ４１と、読み取ったガーゼ識別情報を上記ガーゼ情報Ｄ４として本体装置１に送信するアンテナ４２と、が備えられており、これらアンテナ４１及びアンテナ４２は、接続線４３を介して電源ユニットＰＵから送信されてくる駆動電力により駆動される。 First, as shown in FIG. 6A as a first example, the checkpoint terminal 33 has a configuration in which a main body 40 and a power supply unit PU are connected by a connection line 43. At this time, the main body 40 is disposed in the clean field AR through which the unsealed gauze G used for surgery is inserted, for example, into the body of the patient PT, while the power supply unit PU is disposed in the unclean field. This is because placing the power supply unit PU in the clean field AR has to be placed in an unclean field (for example, the floor) because space is limited and the operation is hindered in the first place. Furthermore, if it is placed in the clean field AR, for example, a treatment such as covering with a sterilized cover is required, and in this case, the battery 44 and the battery 45 described later cannot be replaced. The main body 40 has, for example, a planar antenna 41 that reads gauze identification information stored in the IC tag T of the opened gauze G that passes by the side, and the main body device that uses the read gauze identification information as the gauze information D4. 1 is provided, and the antenna 41 and the antenna 42 are driven by the driving power transmitted from the power supply unit PU via the connection line 43.
　ここで、電源ユニットＰＵには、電池４４及び電池４５が備えられている。これらの電池４４及び電池４５は、乾電池等の一次電池であっても良いし、充電可能な二次電池であっても良い。そして上記本体４０は、電池４４又は電池４５のいずれか一方からの駆動電力により駆動される。このため電源ユニットＰＵ内の切換部４６は、電池４４からの駆動電力又は電池４５からの駆動電力をいずれか一方を切り換えて、接続線４３を介して本体４０に供給する。このとき切換部４６は、駆動電力を供給中の例えば電池４４の蓄電量が本体４０を駆動するための最低蓄電量以下となったとき、電池４４から電池４５に切り換えて駆動電力の供給を継続する。 Here, the power supply unit PU is provided with a battery 44 and a battery 45. These batteries 44 and 45 may be primary batteries such as dry batteries or rechargeable secondary batteries. The main body 40 is driven by driving power from either the battery 44 or the battery 45. For this reason, the switching unit 46 in the power supply unit PU switches the driving power from the battery 44 or the driving power from the battery 45 and supplies it to the main body 40 via the connection line 43. At this time, the switching unit 46 switches from the battery 44 to the battery 45 and continues to supply the driving power when, for example, the amount of power stored in the battery 44 that is supplying the driving power is less than the minimum power storage amount for driving the main body 40. To do.
　なお、電池４４及び電池４５それぞれにおける蓄電量を例えば切換部４６において検出し、その検出結果を本体装置１に送信して当該本体装置１上で告知させるように構成しても良い。より具体的には例えば、電池４４から駆動電力を供給している場合、電池４４における蓄電量を、当該蓄電量の検出及び電池４４又は電池４５の切り換えを行う上記切換部４６において検出し、その検出結果を、例えば切換部４６等の制御機能を有する図示しないＭＰＵ（Main Processing Unit）及び図示しない送信部を介して本体装置１に送信し、当該本体装置１上において告知する構成してもよい。そして、当該蓄電量が上記最低蓄電量に近付いたタイミングで、その旨を同様に電源ユニットＰＵから本体装置１に送信することで、所定の注意告知又は警告告知を当該本体装置１において行うように構成することもできる。これにより、手術室ＯＰにおいてチェックポイントターミナル３３の動作状態を認識することができる。また、電池４４から電池４５に切り換えられた後も電池４５の蓄電量を検出／告知することで、駆動電力の不足によるチェックポイントターミナル３３の動作停止を未然に防止できることにもなる。 Note that the storage amount of each of the battery 44 and the battery 45 may be detected by, for example, the switching unit 46, and the detection result may be transmitted to the main device 1 to be notified on the main device 1. More specifically, for example, when driving power is supplied from the battery 44, the amount of electricity stored in the battery 44 is detected by the switching unit 46 that detects the amount of electricity stored and switches the battery 44 or the battery 45. For example, the detection result may be transmitted to the main device 1 via an MPU (Main Processing Unit) (not shown) having a control function such as the switching unit 46 and a transmitting unit (not shown) and notified on the main device 1. . Then, at the timing when the charged amount approaches the minimum charged amount, the fact is similarly transmitted from the power supply unit PU to the main unit 1 so that a predetermined caution notice or warning notice is given in the main unit 1. It can also be configured. Thereby, the operating state of the checkpoint terminal 33 can be recognized in the operating room OP. Further, even after switching from the battery 44 to the battery 45, the operation stoppage of the checkpoint terminal 33 due to insufficient driving power can be prevented by detecting / notifying the storage amount of the battery 45.
　更に、上述した電池４４又は電池４５の交換を行う必要性が発生する場合等の事態に備える観点からは、不潔野で活動している外回り看護師等が電源ユニットＰＵを扱えるようにしておく必要がある。このため実施形態に係るチェックポイントターミナル３３では、本体４０と電源ユニットＰＵとを接続線４３で接続された別筐体とし、本体４０を清潔野ＡＲ内に配置し、電源ユニットＰＵを不潔野に配置する構成としているのである。 Furthermore, from the viewpoint of preparing for the situation where the battery 44 or the battery 45 needs to be replaced as described above, it is necessary that an external nurse or the like who is active in the unclean field can handle the power supply unit PU. There is. For this reason, in the checkpoint terminal 33 according to the embodiment, the main body 40 and the power supply unit PU are separated from each other by the connection line 43, the main body 40 is disposed in the clean field AR, and the power supply unit PU is kept in the unclean field. The arrangement is arranged.
　一方実施形態に係るチェックポイントターミナル３３としては、図６（ａ）に例示する構成以外に、図６（ｂ）に例示するように構成することもできる。即ち図６（ｂ）に例示するように、実施形態に係るチェックポイントターミナル３３は、図６（ａ）に例示する本体４０に代えて、患者ＰＴの体の一部に開けられた切開創Ｗの傍又はその周囲の一部に配置された例えば馬蹄型のアンテナ５１と、アンテナ５１に接続され且つアンテナ４２を備える送信部５２と、上記電源ユニットＰＵと、により構成してもよい。この図６（ｂ）に例示するチェックポイントターミナル３３においては、少なくともアンテナ５１が清潔野ＡＲ内に配置されていれば、送信部５２は清潔野ＡＲに配置されていても、不潔野に配置されていてもよい。そしてアンテナ５１は、切開創Ｗを通過して患者ＰＴの体内に挿入される開封済みガーゼＧのＩＣタグＴに記憶されているガーゼ識別情報を読み取り、その読み取ったガーゼ識別情報を、送信部５２のアンテナ４２を介して上記ガーゼ情報Ｄ４として本体装置１に送信する。またアンテナ５１及び送信部５２は、接続線４３を介して電源ユニットＰＵから送信されてくる駆動電力により駆動される。この場合の電源ユニットＰＵの構成は、図６（ａ）に例示した電源ユニットＰＵと同様の構成とするのが好適である。 On the other hand, the checkpoint terminal 33 according to the embodiment can be configured as illustrated in FIG. 6B in addition to the configuration illustrated in FIG. That is, as illustrated in FIG. 6B, the checkpoint terminal 33 according to the embodiment has an incision W opened in a part of the body of the patient PT instead of the main body 40 illustrated in FIG. For example, a horseshoe-shaped antenna 51 disposed near or around the antenna 51, a transmitter 52 connected to the antenna 51 and including the antenna 42, and the power supply unit PU may be used. In the checkpoint terminal 33 illustrated in FIG. 6B, if at least the antenna 51 is disposed in the clean field AR, the transmission unit 52 is disposed in the unclean field even if disposed in the clean field AR. It may be. The antenna 51 reads the gauze identification information stored in the IC tag T of the opened gauze G that passes through the incision W and is inserted into the body of the patient PT, and transmits the read gauze identification information to the transmission unit 52. The gauze information D4 is transmitted to the main device 1 through the antenna 42. The antenna 51 and the transmission unit 52 are driven by the driving power transmitted from the power supply unit PU via the connection line 43. The configuration of the power supply unit PU in this case is preferably the same configuration as that of the power supply unit PU illustrated in FIG.
　次に、実施形態に係るガーゼ計数システムＳにおいて実行される後追い機能について、図７を用いて説明する。 Next, the follow-up function executed in the gauze counting system S according to the embodiment will be described with reference to FIG.
　上述した実施形態に係るガーゼ計数システムＳでは、各計数時間における確認計数の結果が、その時点でのガーゼＧの総数から上記閾値数を減じた数以上であれば、上記タイムアウトと見做し得るカウント業務がその計数時間内に実行されたと考えるものとした。しかしながら、ガーゼＧのカウント業務としては、本来、上記閾値数を含めた全てのガーゼＧについて、その所在が明らかになることが望ましい。そこで、実施形態に係るガーゼ計数システムＳでは、ある計数時間における確認計数の結果が、その時点でのガーゼＧの総数から上記閾値数を減じた数以上であった場合、上記タイムアウトと見做し得るカウント業務がその計数時間内に実行されたと考えると共に、当該確認計数において計数できなかったガーゼＧが探索／計数できるまで、例えばハンディ装置３０等を用いたガーゼＧ（開封済みガーゼＧ及び使用済みガーゼＧを含む）の探索を行うように構成することもできる。このような、確認計数において計数できなかったガーゼＧを事後的に探索／計数することを、以下「後追い機能」と称する。 In the gauze counting system S according to the above-described embodiment, if the result of the confirmation counting at each counting time is equal to or larger than the number obtained by subtracting the threshold number from the total number of gauze G at that time, it can be regarded as the timeout. It was assumed that the counting operation was executed within the counting time. However, as a gauze G counting operation, it is originally desirable that the location of all the gauze G including the threshold number is clarified. Therefore, in the gauze counting system S according to the embodiment, when the result of the confirmation counting in a certain counting time is equal to or more than the number obtained by subtracting the threshold number from the total number of the gauze G at that time, the time-out is considered. The gauze G (for example, the opened gauze G and the used gauze G) using the handy device 30 is considered until the gauze G that cannot be counted in the confirmation count can be searched / counted. It is also possible to perform a search for (including gauze G). Such a subsequent search / count for the gauze G that could not be counted in the confirmation count is hereinafter referred to as a “follow-up function”.
　即ち、その手術において使用されるガーゼＧの総数が１００枚である場合について図７に例示するように、その手術中のある計数時間が開始されたタイミングにおいて、ハンディ装置３０以外の本体装置１等を用いたカウント業務が行われたとする（ステップＳ１００）。なお、この場合のカウント業務を、図７中において「カウント業務一回目」と示す。そして、その確認計数の結果が１００枚であったか否かを本体装置１において判定したとき（ステップＳ１０１）、その結果が１００枚であった場合は（ステップＳ１０１；ＹＥＳ）、もともと実施形態に係る後追い機能は不要であるので、実施形態に係るカウント業務を終了する。 That is, as illustrated in FIG. 7 in the case where the total number of gauze G used in the operation is 100, the main body device 1 other than the handy device 30 etc. at the timing when a certain counting time during the operation is started. Assume that a counting job using is performed (step S100). Note that the counting task in this case is shown as “first counting task” in FIG. When it is determined in the main device 1 whether or not the result of the confirmation count is 100 sheets (step S101), if the result is 100 sheets (step S101; YES), the follow-up according to the embodiment is originally performed. Since the function is unnecessary, the counting operation according to the embodiment is terminated.
　一方、ステップＳ１０１の判定において、確認計数の結果が１００枚でない場合、即ち、その時点でのガーゼＧが全て計数できず、例えば９５枚しか確認できていない場合には（ステップＳ１０１；ＮＯ）、本体装置１においてその時点での未確認のガーゼＧの数（例えば５枚）を、例えば表示部１７を用いて表示する（ステップＳ１０２）。これにより、手術室ＯＰにいる例えば外回り看護師は、ハンディ装置３０を用いて手術室ＯＰ内を探索し、未確認のガーゼＧの発見に努める（ステップＳ１０３）。この場合、ハンディ装置３０からガーゼ情報Ｄ３が逐次本体装置１に送信され、ハンディ装置３０において探索されたガーゼＧのガーゼ識別情報が本体装置１に集積されて計数される。そして、上記ステップＳ１０３における探索の結果に基づき、本体装置１において未確認のガーゼＧが未だ存在しているか否かを判定する（ステップＳ１０４）。ステップＳ１０４の判定において、未確認のガーゼＧが存在せず、その時の計数の結果の合計が１００枚であった場合は（ステップＳ１０４；ＮＯ）、その後の実施形態に係る後追い機能は不要であるので、実施形態に係るカウント業務を一旦終了する。 On the other hand, in the determination of step S101, when the result of the confirmation count is not 100 sheets, that is, when all the gauze G at that time cannot be counted, for example, only 95 sheets can be confirmed (step S101; NO), The number of unconfirmed gauze G (for example, 5 sheets) at that time in the main unit 1 is displayed using, for example, the display unit 17 (step S102). Thereby, for example, the outside nurse in the operating room OP searches the operating room OP using the handy device 30 and tries to find an unidentified gauze G (step S103). In this case, the gauze information D3 is sequentially transmitted from the handy device 30 to the main body device 1, and the gauze identification information of the gauze G searched for in the handy device 30 is accumulated in the main body device 1 and counted. Then, based on the result of the search in step S103, it is determined whether or not the unconfirmed gauze G still exists in the main device 1 (step S104). In the determination in step S104, when there is no unconfirmed gauze G and the total of the count results at that time is 100 (step S104; NO), the follow-up function according to the subsequent embodiment is unnecessary. Then, the counting operation according to the embodiment is temporarily terminated.
　他方、ステップＳ１０４の判定において、ハンディ装置３０を用いた計数の結果、一部は発見できたものの１００枚全てが発見できていない場合、即ち、例えば２枚は発見できたが残り３枚は確認できていない場合には（ステップＳ１０４；ＹＥＳ）、本体装置１においてその時点での未確認のガーゼＧの数（この場合３枚）を、例えば表示部１７を用いて表示する（ステップＳ１０５）。次に本体装置１では、その時点での確認計数の結果と「ガーゼＧの総数－閾値数」とを比較する（ステップＳ１０６）。このステップＳ１０６の比較において、「確認計数の結果≧（ガーゼＧの総数－閾値数）」であった場合（ステップＳ１０６；ＹＥＳ）、上記ステップＳ１００乃至ステップＳ１０６の処理が上記計数時間内に行われていれば、上記タイムアウトと見做し得るカウント業務が実行されたとして、実施形態に係るカウント業務（図７中において「カウント業務一回目」と示す）を一旦終了する。 On the other hand, in the determination of step S104, when 100 pieces are found as a result of counting using the handy device 30 but not all 100 pieces are found, that is, for example, two pieces are found but the remaining three pieces are confirmed. If not completed (step S104; YES), the number of unconfirmed gauze G (three in this case) at that time in the main device 1 is displayed using, for example, the display unit 17 (step S105). Next, the main device 1 compares the result of the confirmation count at that time with “total number of gauze G−threshold number” (step S106). In the comparison in step S106, if “confirmation count result ≧ (total number of gauze G−threshold number)” (step S106; YES), the processing in steps S100 to S106 is performed within the counting time. If so, it is determined that a counting job that can be regarded as a timeout has been executed, and the counting job according to the embodiment (shown as “first counting job” in FIG. 7) is temporarily terminated.
　次に、ステップＳ１０６の比較において「確認計数の結果≧（ガーゼＧの総数－閾値数）」でなかった場合（ステップＳ１０６；ＮＯ）、手術室ＯＰにいる例えば外回り看護師は、ハンディ装置３０を用いて手術室ＯＰ内を探索し、未確認のガーゼＧの発見に努める（ステップＳ１０７）。この場合、未確認のガーゼＧの数（この場合２枚）が、例えば本体装置１の表示部１７を用いて逐次表示される（ステップＳ１０８）。 Next, in the comparison in step S106, if “confirmation count result ≧ (total number of gauze G−threshold number)” is not satisfied (step S106; NO), for example, the outside nurse in the operating room OP uses the handy device 30. The operating room OP is used to search for an unidentified gauze G (step S107). In this case, the number of unconfirmed gauze G (two in this case) is sequentially displayed using, for example, the display unit 17 of the main device 1 (step S108).
　そして、手術の進行に伴って、上記ステップＳ１００乃至ステップＳ１０６の処理から例えば一時間経過後に次の計数時間が開始されたとすると（ステップＳ１０９）、この場合のカウント業務（図７中において「カウント業務二回目」と示す）では、それまでの確認計数の結果としてのガーゼＧの数（この場合９８枚）が暫定的な総数とされる。以下の説明において、この暫定的な総数を、単に「暫定総数」と称する。この暫定総数を用いた計数時間が開始されたタイミングにおいて、ハンディ装置３０以外の本体装置１等を用いたカウント業務が行われ（ステップＳ１１０）、その確認計数の結果がその時の暫定総数であったか否かを本体装置１において判定したとき（ステップＳ１１１）、その結果がその時の暫定総数であった場合は（ステップＳ１１１；ＹＥＳ）、その計数時間での実施形態に係るカウント業務を終了し（ステップＳ１１７）、後述するステップＳ１１８の処理に移行する。 Then, with the progress of the operation, for example, if the next counting time is started after a lapse of one hour from the processing of step S100 to step S106 (step S109), the counting task in this case (in FIG. In the second), the number of gauze G (98 sheets in this case) as a result of the previous confirmation count is set as a provisional total number. In the following description, this provisional total number is simply referred to as “provisional total number”. At the timing when the counting time using the provisional total is started, a counting operation using the main device 1 other than the handy device 30 is performed (step S110), and whether the result of the confirmation count is the provisional total at that time In the main device 1 (step S111), if the result is the provisional total number at that time (step S111; YES), the counting operation according to the embodiment at the counting time is ended (step S117). ), The process proceeds to step S118 described later.
　一方、ステップＳ１１１の判定において、確認計数の結果がその時の暫定総数でない場合、即ち、例えば９７枚しか確認できていない場合には（ステップＳ１１１；ＮＯ）、本体装置１においてその時点での未確認のガーゼＧの数（この場合３枚）を、例えば表示部１７を用いて表示する（ステップＳ１１２）。これにより、手術室ＯＰにいる例えば外回り看護師は、上記ステップＳ１０３と同様に、ハンディ装置３０を用いて手術室ＯＰ内を探索し、未確認のガーゼＧの発見に努める（ステップＳ１１３）。そして、上記ステップＳ１１３における探索の結果に基づき、本体装置１において未確認のガーゼＧが未だ存在しているか否かを判定する（ステップＳ１１４）。ステップＳ１１４の判定において、その時の暫定総数に対して未確認のガーゼＧが存在せず、その時の計数の結果が暫定総数であった場合は（ステップＳ１１４；ＮＯ）、その後の実施形態に係る後追い機能は不要であるので、実施形態に係るカウント業務を一旦終了して（ステップＳ１１７）、後述するステップＳ１１８に移行する。 On the other hand, in the determination of step S111, when the result of the confirmation count is not the tentative total number at that time, that is, for example, only 97 sheets can be confirmed (step S111; NO), the main unit 1 has not yet been confirmed. The number of gauze G (in this case, 3) is displayed using, for example, the display unit 17 (step S112). Thus, for example, the outside nurse in the operating room OP searches the operating room OP using the handy device 30 in the same manner as in step S103, and tries to find an unconfirmed gauze G (step S113). Then, based on the result of the search in step S113, it is determined whether or not the unconfirmed gauze G still exists in the main device 1 (step S114). In the determination of step S114, when there is no unconfirmed gauze G with respect to the provisional total at that time and the result of the count at that time is the provisional total (step S114; NO), the follow-up function according to the subsequent embodiment Is not necessary, the counting operation according to the embodiment is temporarily terminated (step S117), and the process proceeds to step S118 described later.
　他方、ステップＳ１１４の判定において、ハンディ装置３０を用いた計数の結果、一部は発見できたものの暫定総数の全てが発見できていない場合、即ち、例えば１枚は発見できたが残り３枚は確認できていない場合には（ステップＳ１１４；ＹＥＳ）、本体装置１においてその時点での未確認のガーゼＧの数（この場合３枚）を、例えば表示部１７を用いて表示する（ステップＳ１１５）。次に本体装置１では、その時点での確認計数の結果と「暫定総数－閾値数」とを比較する（ステップＳ１１６）。このステップＳ１１６の比較において、「確認計数の結果≧（暫定総数－閾値数）」であった場合（ステップＳ１１６；ＹＥＳ）、上記ステップＳ１０９乃至ステップＳ１１６の処理が上記計数時間内に行われていれば、上記タイムアウトと見做し得るカウント業務が実行されたとして、実施形態に係るカウント業務（カウント業務二回目）を一旦終了して（ステップＳ１１７）、後述するステップＳ１１８に移行する。 On the other hand, in the determination of step S114, as a result of the counting using the handy device 30, if some of the provisional totals have not been found, that is, some have been found, for example, one has been found but the remaining three If not confirmed (step S114; YES), the number of unconfirmed gauze G at that time (three in this case) in the main unit 1 is displayed using, for example, the display unit 17 (step S115). Next, the main device 1 compares the result of the confirmation count at that time with “temporary total number−threshold number” (step S116). In the comparison in step S116, if “confirmation count result ≧ (temporary total number−threshold number)” (step S116; YES), the processing from step S109 to step S116 is performed within the counting time. For example, assuming that a counting job that can be regarded as a timeout has been executed, the counting job (second counting job) according to the embodiment is temporarily terminated (step S117), and the process proceeds to step S118 described later.
　次に、ステップＳ１１６の比較において「確認計数の結果≧（暫定総数－閾値数）」でなかった場合（ステップＳ１１６；ＮＯ）、ハンディ装置３０以外の本体装置１等を用いたカウント業務が更に行われ（ステップＳ１１８）、その確認計数の結果がガーゼＧの総数であったか否かを本体装置１において判定したとき（ステップＳ１１９）、その結果がその時のガーゼＧの総数であった場合は（ステップＳ１１９；ＮＯ）、実施形態に係るカウント業務を一旦終了する。 Next, in the comparison in step S116, if “confirmation count result ≧ (provisional total number−threshold number)” is not satisfied (step S116; NO), the counting work using the main body device 1 other than the handy device 30 is further performed. When the main apparatus 1 determines whether the result of the confirmation count is the total number of gauze G (step S119), if the result is the total number of gauze G at that time (step S119) NO), the counting work according to the embodiment is temporarily terminated.
　一方、ステップＳ１１９の判定において、確認計数の結果がガーゼＧの総数でない場合（ステップＳ１１９；ＮＯ）、上記ハンディ装置３０を用いた探索（ステップＳ１２０）及びその結果の表示部１７を用いた表示（ステップＳ１２１）が、未確認のガーゼＧがなくなるまで（ステップＳ１１９；ＮＯ参照）繰り返されることになる。 On the other hand, in the determination of step S119, when the result of the confirmation count is not the total number of gauze G (step S119; NO), the search using the handy device 30 (step S120) and the display using the display unit 17 (see FIG. Step S121) is repeated until there is no unconfirmed gauze G (see Step S119; NO).
　このような後追い機能によれば、その手術に用いられたガーゼＧの全てを、確実に発見することができる。 Such a follow-up function can surely find all the gauze G used in the operation.
　次に、上記後追い機能を含む実施形態に係るカウント業務の更に具体的な例について、図８乃至図１１を用いて説明する。なお、図８は当該カウント業務の具体例を示す図であり、図９乃至図１１は当該具体例に対応した表示例をそれぞれ示す図である。また以下に説明する具体例においては、実施形態に係るカウント業務として、上記閾値数が「ゼロ」である場合について説明する。ここで上記閾値数が「ゼロ」であるとは即ち、その手術に使用されるガーゼＧの総数が例えば１００枚であった場合、１００枚のガーゼＧの所在が実施形態に係るガーゼ計数システムＳにおいて最終的に計数できない場合、その手術におけるタイムアウトとしては「不適」であると判定してその結果を表示するカウント業務を行うことをいう。このとき、下記に説明する具体例に対応する図７のフローチャートとしては、図７に示すステップＳ１０６の処理及びステップＳ１１６の処理が実行されない（スキップされる）ことになる。 Next, a more specific example of the counting work according to the embodiment including the follow-up function will be described with reference to FIGS. FIG. 8 is a diagram illustrating a specific example of the counting task, and FIGS. 9 to 11 are diagrams illustrating display examples corresponding to the specific example. In the specific example described below, the case where the threshold number is “zero” will be described as the counting task according to the embodiment. Here, the threshold number is “zero”, that is, when the total number of gauze G used in the operation is 100, for example, the location of 100 gauze G is the gauze counting system S according to the embodiment. In the case where it is not possible to finally count, the time-out in the operation is determined to be “inappropriate” and the counting operation for displaying the result is performed. At this time, in the flowchart of FIG. 7 corresponding to the specific example described below, the process of step S106 and the process of step S116 shown in FIG. 7 are not executed (skipped).
　上記後追い機能を含む実施形態に係るカウント業務では、上記総数又は暫定総数に基づき、図７を用いて説明したフローチャートに沿って、本体装置１等を用いたガーゼＧのカウント業務を行う。この場合のガーゼＧには、上記滅菌保持ガーゼＧ、上記開封済みガーゼＧ及び上記使用済みガーゼＧが含まれている。一方、実際のカウント業務としては、全てのガーゼＧの計数が一つの上記計数時間内に終えられるとは限らない。この場合に上記後追い機能が用いられ、暫定総数に基づくカウント業務が追加的に行われることで、最終的に全てのガーゼＧの計数が完了する。 In the counting operation according to the embodiment including the follow-up function, the gauze G counting operation using the main device 1 or the like is performed according to the flowchart described with reference to FIG. The gauze G in this case includes the sterilized holding gauze G, the opened gauze G, and the used gauze G. On the other hand, as an actual counting operation, the counting of all gauze G is not necessarily completed within one counting time. In this case, the follow-up function is used, and the counting work based on the provisional total is additionally performed, so that the counting of all the gauze G is finally completed.
　即ち、その手術において使用される予定のガーゼＧの総数が１００枚である場合について図８に例示するように、手術開始後にカウント業務番号（以下、単に「番号」と称する）１として実行されたカウント業務において、本体装置１の第１収納部１２で開封前の滅菌保持ガーゼＧの全数１００枚が計数された（上記記憶計数に相当）とする（図７ステップＳ１００、ステップＳ１０１；ＹＥＳ参照）。この場合、図８に示す「計数枚数合計」は１００枚となり、更に番号１のカウント業務は上記計数時間（例えば１５分）内に終わることが通常である。よって番号１のカウント業務は、実施形態に係るタイムアウトしては「適」となり、その旨が本体装置１の例えばディスプレイ１７において、例えば図９乃至図１１に示すように表示される。 That is, when the total number of gauze G scheduled to be used in the operation is 100, as illustrated in FIG. 8, the operation was performed as a counting service number (hereinafter simply referred to as “number”) 1 after the operation started. In the counting work, it is assumed that 100 total sterilization-holding gauze G before opening is counted in the first storage unit 12 of the main device 1 (corresponding to the above-mentioned storage count) (see step S100 and step S101 in FIG. 7; YES). . In this case, the “total number of counted sheets” shown in FIG. 8 is 100 sheets, and the counting operation of number 1 usually ends within the counting time (for example, 15 minutes). Therefore, the count job of number 1 becomes “appropriate” when timed out according to the embodiment, and that effect is displayed on, for example, the display 17 of the main device 1 as shown in FIGS. 9 to 11, for example.
　次に、番号１のカウント業務から例えば数十分又は一時間経過後に行われた番号２のカウント業務において、手術の進行により、卓上装置３１で開封済みガーゼＧが例えば７０枚計数され、チェックポイントターミナル３３で開封済みガーゼＧ又は使用済みガーゼＧが例えば３枚計数され、更に本体装置１の第３収納部１３で使用済みガーゼＧが例えば２７枚計数され、ガーゼ計数システムＳ全体で１００枚（７０枚＋３枚＋２７枚＝１００枚）計数されたとする（図７ステップＳ１００、ステップＳ１０１；ＹＥＳ参照）。この場合も、図８に示す「計数枚数合計」は１００枚となり、更に番号２のカウント業務も上記計数時間内に終わることが通常である。よって番号２のカウント業務も、実施形態に係るタイムアウトしては「適」となり、その旨が本体装置１の例えばディスプレイ１７において、例えば図９乃至図１１に示すように表示される。なお、以下に説明する番号２のカウント業務以降のカウント業務では、上記確認計数に相当するカウント業務が実行されることになる。 Next, in the counting work of number 2 performed for example several tens of minutes or one hour after the counting work of number 1, for example, 70 opened gauze G are counted by the desktop device 31 by the progress of the operation, and the checkpoint For example, 3 pieces of opened gauze G or used gauze G are counted in the terminal 33, and 27 pieces of used gauze G are further counted in the third storage unit 13 of the main unit 1, and 100 pieces of gauze counting system S as a whole ( 70 sheets + 3 sheets + 27 sheets = 100 sheets) are counted (see step S100 and step S101 in FIG. 7; YES). In this case as well, the “total number of counted sheets” shown in FIG. 8 is 100 sheets, and the number 2 counting operation is usually completed within the counting time. Therefore, the count job of number 2 also becomes “appropriate” when timed out according to the embodiment, and that fact is displayed on the display device 17 of the main device 1, for example, as shown in FIGS. Note that in the counting work after the counting work of number 2 described below, the counting work corresponding to the confirmation count is executed.
　これに対し、番号２のカウント業務後に行われた番号３のカウント業務において、手術の更なる進行により、卓上装置３１で開封済みガーゼＧが例えば（前回のカウント業務より少ない）５５枚計数され、チェックポイントターミナル３３で開封済みガーゼＧ又は使用済みガーゼＧが例えば４枚計数され、更に本体装置１の第３収納部１３で使用済みガーゼＧが例えば３８枚計数されたとする。この場合、図８に示す「計数枚数合計」は９７枚（５５枚＋４枚＋３８枚＝９７枚）となり、これは上記総数よりも３枚少ない（図７ステップＳ１０１；ＮＯ参照）。よってこの３枚は図８に示す「未計数枚数」となり、この番号３のカウント業務は、それが上記計数時間内に終わったとしても実施形態に係るタイムアウトしては「不適」となり、その旨が本体装置１の例えばディスプレイ１７において、例えば図９乃至図１１に示すように表示される（図７ステップＳ１０５及びステップＳ１０８参照）。 On the other hand, in the counting operation of number 3 performed after the counting operation of number 2, by the further progress of the surgery, for example, 55 open gauze G are counted by the desktop device 31 (less than the previous counting operation), It is assumed that, for example, four pieces of opened gauze G or used gauze G are counted at the check point terminal 33, and further, for example, 38 pieces of used gauze G are counted in the third storage unit 13 of the main body device 1. In this case, the “total number of counted sheets” shown in FIG. 8 is 97 sheets (55 sheets + 4 sheets + 38 sheets = 97 sheets), which is 3 sheets less than the total number (see step S101 in FIG. 7; NO). Therefore, these three sheets become “uncounted sheets” shown in FIG. 8, and even if the counting work of number 3 ends within the above-described counting time, the time-out according to the embodiment becomes “inappropriate”. Is displayed, for example, as shown in FIGS. 9 to 11 on the display 17 of the main unit 1 (see step S105 and step S108 in FIG. 7).
　次に、タイムアウトしては「不適」となった番号３のカウント業務後に行われた番号４のカウント業務においては、番号３のカウント業務で計数された枚数「９７」が上記暫定総数としてカウント業務が実行される（図７ステップＳ１０９参照）。なお図８においては、上記暫定総数のカウント業務間の引き継ぎ状況を破線矢印により例示している。そして番号４のカウント業務において、卓上装置３１で開封済みガーゼＧが例えば（前回のカウント業務より少ない）５０枚計数され、チェックポイントターミナル３３で開封済みガーゼＧ又は使用済みガーゼＧが例えば３枚計数され、更に本体装置１の第３収納部１３で使用済みガーゼＧが例えば４４枚計数されたとする。この場合、図８に示す「計数枚数合計」は前回と同様に９７枚（５０枚＋３枚＋４４枚＝９７枚）となり、この場合は、上記ステップＳ１０９に係る暫定総数には等しいが（図７ステップＳ１１１；ＹＥＳ参照）、上記総数よりも３枚少ない。よってこの番号４のカウント業務も、それが上記計数時間内に終わったとしても実施形態に係るタイムアウトしては「不適」となり、その旨が本体装置１の例えばディスプレイ１７において、例えば図９乃至図１１に示すように表示される（図７ステップＳ１２１参照）。 Next, in the counting job of number 4 performed after the counting job of number 3 that became “unsuitable” due to timeout, the number “97” counted in the counting service of number 3 is counted as the provisional total number. Is executed (see step S109 in FIG. 7). In FIG. 8, the state of handover between the provisional total number of counting tasks is illustrated by a broken-line arrow. Then, in the counting work of number 4, the opened gauze G is counted by, for example, 50 (less than the previous counting work) by the desktop device 31, and the opened gauze G or the used gauze G is counted by, for example, 3 sheets at the checkpoint terminal 33. Further, it is assumed that 44 pieces of used gauze G are counted in the third storage unit 13 of the main device 1. In this case, the “total number of counted sheets” shown in FIG. 8 is 97 (50 sheets + 3 sheets + 44 sheets = 97 sheets) as in the previous case, and in this case, it is equal to the provisional total number in step S109 (FIG. 7). Step S111; see YES), 3 sheets less than the total number. Therefore, even if the counting operation of the number 4 ends within the above-described counting time, the time-out according to the embodiment becomes “inappropriate”, and this is indicated on the display 17 of the main unit 1, for example, FIG. 9 to FIG. 11 (see step S121 in FIG. 7).
　次に、番号４のカウント業務後に番号５のカウント業務として、卓上装置３１においてのみ、開封済みガーゼＧが例えば４８枚計数されたとする。この場合、図８に示す「計数枚数合計」は４８枚のみとなり、「未計数枚数」は４９枚（９７枚－４８枚＝４９枚）となり、タイムアウトしては「不適」となる。ここで例えば、そもそもタイムアウトとみなす際に、本体装置１の第２収納部１３内での確認計数を必須条件とすることもでき、そうすると、このカウント業務は卓上装置３１においてのみ実行されたものであるため、実施形態に係るカウント業務としてはタイムアウトとしての判定の対象とはならない。よってこの場合、番号５のカウント業務は、図８に例示するように「除外」として扱われる。より具体的には、当該計数結果としての「４８」は、例えば卓上装置３１の図示しない表示部において暫定的に表示されるか、或いは本体装置１の表示部１７において暫定的に表示されるのみで、本体装置１において記憶されることはない。 Next, it is assumed that, for example, 48 opened gauze G are counted only in the desktop device 31 as the counting operation of the number 5 after the counting operation of the number 4. In this case, the “total number of counted sheets” shown in FIG. 8 is only 48, the “uncounted number” is 49 (97−48 = 49), and the time-out becomes “unsuitable”. Here, for example, in the first place, it is possible to make a confirmation count in the second storage unit 13 of the main body device 1 an essential condition when it is regarded as a time-out. Then, this counting operation is executed only in the desktop device 31. For this reason, the counting task according to the embodiment is not subject to determination as a timeout. Therefore, in this case, the counting task with the number 5 is treated as “exclusion” as illustrated in FIG. More specifically, “48” as the counting result is tentatively displayed, for example, on a display unit (not shown) of the desktop device 31 or only tentatively displayed on the display unit 17 of the main device 1. Thus, it is not stored in the main device 1.
　なお上記では、タイムアウトとみなす条件として、本体装置１の第２収納部１３内での確認計数を必須条件として例に挙げたが、当該必須条件は、使用者の取り決め等により任意に設定することができる。例えば、本体装置１の第２収納部１３内での確認計数と、本体装置１の第１収納部１２内での確認計数と、卓上装置３１での確認計数の３つの確認計数が実行されることを、タイムアウトとみなす必須条件としても良い。 In the above description, the confirmation count in the second storage unit 13 of the main body device 1 is taken as an example of the condition to be regarded as a timeout. However, the essential condition is arbitrarily set according to the user's agreement or the like. Can do. For example, three confirmation counts are executed: a confirmation count in the second storage unit 13 of the main device 1, a confirmation count in the first storage unit 12 of the main device 1, and a confirmation count in the tabletop device 31. This may be an indispensable condition for considering this as a timeout.
　次に、番号５のカウント業務後に行われた番号６のカウント業務においては、上記暫定総数である９７枚を用いてカウント業務が実行される（図７ステップＳ１０９参照）。そして番号６のカウント業務において、卓上装置３１で開封済みガーゼＧが例えば（前回のカウント業務より少ない）４７枚計数され、チェックポイントターミナル３３で開封済みガーゼＧ又は使用済みガーゼＧが例えば３枚計数され、更に本体装置１の第３収納部１３で使用済みガーゼＧが１枚増えて４８枚計数されたとする。この場合、図８に示す「計数枚数合計」は９８枚（４７枚＋３枚＋４８枚＝９８枚）となり、この場合は、上記ステップＳ１０９に係る暫定総数より多いが（図７ステップＳ１１１；ＮＯ参照）、上記総数よりも２枚少ない。よってこの番号６のカウント業務も、それが上記計数時間内に終わったとしても実施形態に係るタイムアウトしては「不適」となり、その旨が本体装置１の例えばディスプレイ１７において、例えば図９乃至図１１に示すように表示される（図７ステップＳ１１５参照）。 Next, in the count job of number 6 performed after the count job of number 5, the count job is executed using 97 sheets which is the provisional total number (see step S109 in FIG. 7). Then, in the counting work of No. 6, for example, 47 pieces of opened gauze G are counted by the desktop device 31 (less than the previous counting work), and 3 pieces of opened gauze G or used gauze G are counted by the checkpoint terminal 33, for example. Furthermore, it is assumed that the number of used gauze G is increased by one in the third storage unit 13 of the main body device 1 and 48 sheets are counted. In this case, the “total number of counted sheets” shown in FIG. 8 is 98 sheets (47 sheets + 3 sheets + 48 sheets = 98 sheets). In this case, the total number is larger than the provisional total number in step S109 (see step S111 in FIG. 7; NO reference). ) 2 less than the above total. Therefore, even if the counting operation of the number 6 ends within the above-described counting time, the time-out according to the embodiment becomes “inappropriate”, and this is indicated on the display 17 of the main unit 1, for example, FIG. 9 to FIG. 11 (see step S115 in FIG. 7).
　次に、番号６のカウント業務後に番号７のカウント業務として、ハンディ装置３０においてのみ、使用済みガーゼＧが例えば２枚計数されたとする（図７ステップＳ１２０参照）。この場合、図８に示す「計数枚数合計」は２枚のみとなり、「未計数枚数」は９６枚（９８枚－２枚＝９６枚）となるが、このカウント業務はハンディ装置３０においてのみ実行されたものであるため、番号５のカウント業務と同様に、実施形態に係るカウント業務としてはタイムアウトとしての判定の対象とはならず、図８に例示するように「除外」として扱われる。より具体的には、当該計数結果としての「２」を対象として、上記番号５のカウント業務と同様のハンディ装置３０又は本体装置１における暫定的な表示のみが実行される。 Next, it is assumed that, for example, two pieces of used gauze G are counted only in the handy device 30 as the number 7 counting operation after the number 6 counting operation (see step S120 in FIG. 7). In this case, the “total number of counted sheets” shown in FIG. 8 is only two, and the “uncounted number” is 96 (98−2 = 96), but this counting operation is executed only in the handy device 30. Therefore, the counting service according to the embodiment is not subject to determination as a timeout, and is treated as “exclusion” as illustrated in FIG. More specifically, only the provisional display on the handy device 30 or the main body device 1 similar to the counting work of the number 5 is executed for “2” as the counting result.
　なお、上記番号３のカウント業務から番号７のカウント業務まで、及びその後の上記後追い機能（図７参照）が上記計数時間内に行われ、且つ、最終的に当該手術に用いられるガーゼＧの総数である１００枚が計数できた場合、タイムアウトとしては「適」であると判定し、その旨を例えば本体装置１の表示部１７において実行するように構成できる。なおこの場合、番号７のカウント業務において計数された２枚は、番号６のカウント業務において計数された９８枚とは異なる２枚である必要がある。 Note that the total number of gauze G used from the counting operation of No. 3 to the counting operation of No. 7 and the subsequent follow-up function (see FIG. 7) is performed within the counting time and is finally used for the operation. When 100 sheets are counted, it can be determined that the timeout is “appropriate”, and that effect is executed on the display unit 17 of the main device 1, for example. In this case, it is necessary that the two sheets counted in the number 7 counting service are two sheets different from the 98 sheets counted in the number 6 counting service.
　次に、番号７のカウント業務から例えば数十分又は一時間経過後に行われた番号８のカウント業務（ガーゼＧの総数（１００枚）に基いた、改めてのカウント業務）として、卓上装置３１においてのみ、開封済みガーゼＧが例えば３０枚更に計数されたとする。この場合、図８に示す「計数枚数合計」は３０枚のみとなり、「未計数枚数」は７０枚（１００枚－３０枚＝７０枚）となるが、このカウント業務は卓上装置３１においてのみ実行されたものであるため、前述したタイムアウトとしてみなす条件として例えば本体装置１の第２収納部１３内での確認計数を必須条件とするのであれば、実施形態に係るカウント業務としてはタイムアウトとしての判定の対象とはならず、上記番号５のカウント業務又は番号７のカウント業務と同様に、図８に例示するように「除外」として扱われる。より具体的には、当該計数結果としての「３０」を対象として、上記番号５のカウント業務と同様のハンディ装置３０又は本体装置１における暫定的な表示のみが実行される。 Next, in the tabletop device 31, for example, as a counting job of number 8 (a new counting job based on the total number of gauze G (100 sheets)) performed several tens of minutes or one hour after the counting job of number 7 Only, for example, 30 sheets of opened gauze G are further counted. In this case, the “total number of counted sheets” shown in FIG. 8 is only 30 sheets, and the “uncounted sheet number” is 70 sheets (100 sheets−30 sheets = 70 sheets). Therefore, if the confirmation count in the second storage unit 13 of the main device 1 is an indispensable condition as a condition to be regarded as the above-described timeout, the determination operation according to the embodiment is determined as a timeout. As shown in FIG. 8, it is treated as “excluded” in the same manner as the number 5 counting service or the number 7 counting service. More specifically, only the provisional display on the handy device 30 or the main body device 1 similar to the counting work of the number 5 is executed for “30” as the counting result.
　次に、番号８のカウント業務後に行われた番号９のカウント業務においては、上記総数である１００枚を用いてカウント業務が実行される（図７ステップＳ１００参照）。そして番号９のカウント業務において、卓上装置３１で開封済みガーゼＧが例えば（番号８のカウント業務より少ない）２１枚計数され、チェックポイントターミナル３３で開封済みガーゼＧ又は使用済みガーゼＧが例えば４枚計数され、更に本体装置１の第３収納部１３で使用済みガーゼＧが７４枚計数されたとする。この場合、図８に示す「計数枚数合計」は９９枚（２１枚＋４枚＋７４枚＝９９枚）となり、この場合は、上記ステップＳ１００に係る総数より少ない（図７ステップＳ１０１；ＮＯ参照）。よってこの番号９のカウント業務も、それが上記計数時間内に終わったとしても実施形態に係るタイムアウトしては「不適」となり、その旨が本体装置１の例えばディスプレイ１７において、例えば図９乃至図１１に示すように表示される（図７ステップＳ１０２参照）。 Next, in the counting job of number 9 performed after the counting job of number 8, the counting job is executed using 100 sheets as the total number (see step S100 in FIG. 7). Then, in the counting job of number 9, 21 sheets of opened gauze G are counted by the desktop device 31 (less than the counting job of number 8), and 4 sheets of opened gauze G or used gauze G are counted by the checkpoint terminal 33, for example. Assume that 74 used gauze G have been counted in the third storage unit 13 of the main device 1. In this case, the “total number of counted sheets” shown in FIG. 8 is 99 sheets (21 sheets + 4 sheets + 74 sheets = 99 sheets), and in this case, is smaller than the total number related to step S100 (see step S101 in FIG. 7; NO). Therefore, even if the counting operation of the number 9 ends within the above-described counting time, the time-out according to the embodiment becomes “inappropriate”, and this is indicated on the display 17 of the main unit 1, for example, FIG. 9 to FIG. 11 (see step S102 in FIG. 7).
　最後に、番号９のカウント業務後に番号１０のカウント業務として、ハンディ装置３０においてのみ、使用済みガーゼＧが例えば１枚計数されたとする（図７ステップＳ１０７参照）。この場合、図８に示す「計数枚数合計」は１枚のみとなり、「未計数枚数」は９９枚（１００枚－１枚＝９９枚）となるが、このカウント業務はハンディ装置３０においてのみ実行されたものであるため、前述したタイムアウトとしてみなす条件として例えば本体装置１の第２収納部１３内での確認計数を必須条件とするのであれば、実施形態に係るカウント業務としてはタイムアウトとしての判定の対象とはならず、図８に例示するように「除外」として扱われる。より具体的には、当該計数結果としての「１」を対象として、上記番号５のカウント業務と同様のハンディ装置３０又は本体装置１における暫定的な表示のみが実行される。なおこの場合、番号１０のカウント業務において計数された１枚は、番号９のカウント業務において計数された９９枚とは異なる１枚である必要がある。 Finally, it is assumed that, for example, one used gauze G is counted only in the handy device 30 as the counting job of number 10 after the counting job of number 9 (see step S107 in FIG. 7). In this case, the “total number of counted sheets” shown in FIG. 8 is only one and the “uncounted number” is 99 (100 sheets−1 sheets = 99 sheets), but this counting operation is executed only in the handy device 30. Therefore, if the confirmation count in the second storage unit 13 of the main device 1 is an indispensable condition as a condition to be regarded as the above-described timeout, the determination operation according to the embodiment is determined as a timeout. And is treated as “excluded” as illustrated in FIG. More specifically, only the provisional display on the handy device 30 or the main body device 1 similar to the counting work of the number 5 is executed for “1” as the counting result. In this case, one sheet counted in the counting job of number 10 needs to be one sheet different from 99 sheets counted in the counting service of number 9.
　なお、上記番号９のカウント業務及び番号１０のカウント業務、及びその後の上記後追い機能（図７参照）が上記計数時間内に行われ、且つ、最終的に当該手術に用いられるガーゼＧの総数である１００枚が計数できた場合、タイムアウトとしては「適」であると判定し、その旨を例えば本体装置１の表示部１７において実行するように構成できる。 In addition, the counting service of the number 9 and the counting service of the number 10 and the subsequent follow-up function (see FIG. 7) are performed within the counting time, and finally the total number of gauze G used for the operation. If 100 sheets can be counted, it can be determined that the timeout is “appropriate”, and that effect is executed on the display unit 17 of the main device 1, for example.
　次に、図８を用いて例示した各カウント業務それぞれの結果を例えば本体装置１の表示部１７において表示する場合の表示例について、図９乃至図１１を用いて説明する。 Next, a display example in the case where the result of each counting task exemplified with reference to FIG. 8 is displayed on the display unit 17 of the main device 1 will be described with reference to FIGS. 9 to 11.
　先ず当該表示の第１例について、図９を用いて説明する。図９では、図８を用いてそれぞれ説明した各カウント業務における計数枚数合計の値（縦軸）を、対応する各カウント業務が行われたタイミング（横軸）と共に示す。なお図９において、実施形態に係る計数時間ごとに時刻Ｔ１、時刻Ｔ２、時刻Ｔ３、…、時刻Ｔ５については、図３を用いて例示した場合に準じて表記している。また図９における「カウント業務番号」は、図８に例示した番号１、番号２、…、番号１０に相当している。 First, a first example of the display will be described with reference to FIG. In FIG. 9, the value (vertical axis) of the total number of counted sheets in each counting operation described with reference to FIG. 8 is shown together with the timing (horizontal axis) at which each corresponding counting operation is performed. In FIG. 9, time T1, time T2, time T3,..., Time T5 for each counting time according to the embodiment are described according to the example illustrated in FIG. 9 corresponds to the numbers 1, 2,..., 10 illustrated in FIG.
　図９に例示するように、図８を用いて説明した各カウント業務の計数枚数合計は、計数時間ごとに例えば本体装置１の表示部１７に表示するように構成することができる。そして図９に例示する場合、番号１のカウント業務と番号２のカウント業務については計数時間内の最終的な計数結果が上記総数と一致しているので、これらの場合は実施形態に係るタイムアウトとしては「適」と判定され、その旨が図９のように表示される。なお図９に示す表示例では、各カウント業務における計数枚数合計がそれぞれ（　）付きで表示されている。 As exemplified in FIG. 9, the total number of counting operations of each counting operation described with reference to FIG. 8 can be configured to be displayed on the display unit 17 of the main device 1 for each counting time, for example. In the case illustrated in FIG. 9, the final counting result within the counting time for the counting service of number 1 and the counting service of number 2 is the same as the above total number. Is determined to be “suitable”, and a message to that effect is displayed as shown in FIG. In the display example shown in FIG. 9, the total number of counted sheets in each counting job is displayed with ().
　一方、番号３のカウント業務から番号７のカウント業務までが、時刻Ｔ２から時刻Ｔ３までの一つの計数時間内に実行された場合、各カウント業務それぞれに注目した場合は「不適」又は「除外」と判定されるが（図８参照）、番号３のカウント業務から番号７のカウント業務まで全体として最終的に上記総数と一致した計数枚数合計が得られれば、その計数時間内のタイムアウトとしては「適」と判定して表示部１７に表示するように構成することができる。この点図９に例示する場合、番号６のカウント業務では計数枚数合計が９８枚であり、その後の番号７のハンディ装置３０を用いたカウント業務で２枚が探索されている。よって、番号６のカウント業務及び番号７のカウント業務の結果として、上記総数に一致した計数枚数合計が得られていることになるので、時刻Ｔ２から時刻Ｔ３までの一つの計数時間内のタイムアウトとしては「適」と判定され、その旨が表示部１７に表示される。 On the other hand, when the counting job from number 3 to the counting job of number 7 is executed within one counting time from time T2 to time T3, if each of the counting jobs is noted, it is “unsuitable” or “excluded”. (See FIG. 8), if the total number of counts that finally matches the total number from the count job of number 3 to the count job of number 7 is finally obtained, the timeout within the count time is “ It can be configured to be determined as “appropriate” and displayed on the display unit 17. In the case illustrated in FIG. 9, the total number of counted sheets is 98 in the counting job of No. 6, and two are searched for in the counting job using the handy device 30 of No. 7 thereafter. Therefore, as a result of the counting service of No. 6 and the counting service of No. 7, the total number of counts corresponding to the above-mentioned total number is obtained, so as a timeout within one counting time from time T2 to time T3. Is determined to be “suitable”, and a message to that effect is displayed on the display unit 17.
　ここで図９に例示する場合の変形として、仮に番号３のカウント業務から番号７のカウント業務までが、一つの計数時間内に実行されなかった場合でも、例えば、番号６のカウント業務から番号７のカウント業務までが一つの計数時間内に実行された場合、番号６及び番号７のカウント業務それぞれに注目した場合は「不適」又は「除外」と判定されるが（図８参照）、番号６のカウント業務から番号７のカウント業務まで全体として最終的に上記総数と一致した計数枚数合計が得られれば、その計数時間内のタイムアウトとしては「適」と判定して表示部１７に表示するように構成することができる。この場合における当該表示例を、表示部１７における表示の第２例として図１０に示す。なお図１０における各表示の意味は図９と同様である。上記の図９に例示する場合の変形では、図１０に例示するように、番号６のカウント業務では計数枚数合計が９８枚であり、その後の番号７のハンディ装置３０を用いたカウント業務で２枚が探索されている。よって、番号６のカウント業務及び番号７のカウント業務の結果として、上記総数に一致した計数枚数合計が得られていることになるので、時刻Ｔ３から時刻Ｔ４までの一つの計数時間内のタイムアウトとしては「適」と判定され、その旨が表示部１７に表示される。またこの場合、実施形態に係る「計数時間」は、図９に例示する場合のように連続するのではなく、図１０に例示するように断続的に設定（定義）されることになる。 Here, as a modification in the case illustrated in FIG. 9, for example, even when the counting service from the number 3 to the counting service of the number 7 is not executed within one counting time, for example, from the counting service of the number 6 to the number 7 No. 6 is executed within one counting time, and it is determined as “inappropriate” or “excluded” when attention is paid to each of the number 6 and number 7 counting operations (see FIG. 8). If the total number of counts finally matching the above total number is obtained from the counting operation of No. 7 to the counting operation of No. 7, the timeout within the counting time is determined as “appropriate” and displayed on the display unit 17. Can be configured. The display example in this case is shown in FIG. 10 as a second example of display on the display unit 17. The meaning of each display in FIG. 10 is the same as that in FIG. In the modification in the case illustrated in FIG. 9, as illustrated in FIG. 10, the total number of counted sheets is 98 in the counting job of number 6, and 2 in the counting job using the handy device 30 of number 7 thereafter. The sheet is being searched. Therefore, as a result of the counting service of No. 6 and the counting service of No. 7, the total number of counts corresponding to the above total number is obtained. Therefore, as a timeout within one counting time from time T3 to time T4, Is determined to be “suitable”, and a message to that effect is displayed on the display unit 17. In this case, the “counting time” according to the embodiment is not continuously set as illustrated in FIG. 9 but is intermittently set (defined) as illustrated in FIG.
　また同様に、番号９のカウント業務及び番号１０のカウント業務が、時刻Ｔ５から時刻Ｔ６までの一つの計数時間内に実行された場合、各カウント業務それぞれに注目した場合は「不適」又は「除外」と判定されるが（図８参照）、番号９のカウント業務及び番号１０のカウント業務として最終的に上記総数と一致した計数枚数合計が得られれば、その計数時間内のタイムアウトとしては「適」と判定して表示部１７に表示するように構成することができる。この点図９又は図１０に例示する場合、番号９のカウント業務では計数枚数合計が９９枚であり、その後の番号１０のハンディ装置３０を用いたカウント業務で１枚が探索されている。よって、番号９のカウント業務及び番号１０のカウント業務の結果として上記総数に一致した計数枚数合計が得られていることになるので、時刻Ｔ５から時刻Ｔ６までの一つの計数時間内のタイムアウトとしては「適」と判定され、その旨が表示部１７に表示される。 Similarly, when the counting service of number 9 and the counting service of number 10 are executed within one counting time from time T5 to time T6, if each of the counting services is noticed, “inappropriate” or “exclusion” (See FIG. 8), if the total number of counts that finally matches the above total number is obtained as the counting service of number 9 and the counting service of number 10, the timeout within the counting time is “appropriate” ”And display on the display unit 17. In the case illustrated in FIG. 9 or FIG. 10, the total number of counted sheets is 99 in the counting job of number 9, and one is searched for in the counting job using the handy device 30 of number 10 thereafter. Therefore, as the result of the counting service of number 9 and the counting service of number 10, the total number of counts that matches the above-mentioned total number is obtained. Therefore, as a timeout within one counting time from time T5 to time T6, It is determined as “appropriate” and a message to that effect is displayed on the display unit 17.
　次に表示部１７における表示の第３例について、図１１を用いて説明する。図１１では、図８を用いてそれぞれ説明した各カウント業務における各装置それぞれの計数の値（縦軸）を、対応する各カウント業務の番号（横軸）と共に示す。なお図１１における「カウント業務番号」は、図８に例示した番号１、番号２、…、番号１０に相当している。 Next, a third example of display on the display unit 17 will be described with reference to FIG. In FIG. 11, the count value (vertical axis) of each device in each counting work described with reference to FIG. 8 is shown together with the corresponding number of counting work (horizontal axis). 11 corresponds to number 1, number 2,..., Number 10 illustrated in FIG.
　図１１に示す例のように、図８を用いて説明した各カウント業務における各装置それぞれの計数の値（即ち、本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３それぞれにおける計数の値）は、カウント業務ごとに例えば本体装置１の表示部１７に表示するように構成することができる。そして図１１に例示する場合、装置ごと且つカウント業務ごとに計数結果が識別可能に表示される。図１１の例示では、装置ごとにハッチングの態様を変えることで識別可能に表示しているが、これを、例えば色ごとに変えて装置を識別可能に表示することもできる。 As in the example shown in FIG. 11, the count value of each device in each counting task described with reference to FIG. 8 (that is, the count value in each of the main device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33). (Value) can be configured to be displayed on the display unit 17 of the main device 1 for each counting task, for example. In the case illustrated in FIG. 11, the count result is displayed so as to be identifiable for each device and for each counting task. In the illustration of FIG. 11, the display is made identifiable by changing the hatching mode for each device. However, this can be changed for each color to display the device in an identifiable manner.
　以上それぞれ説明したように、実施形態に係るガーゼ計数システムＳの動作によれば、各ガーゼＧのＩＣタグＴに記憶されているガーゼ識別情報を手術中に無線により読み取り、その読み取られたガーゼ識別情報に基づいて手術中にガーゼＧを計数し、その計数結果と、計数時間と、を関連付けて、読み出し可能にメモリ１８に記憶させた上で表示する。よって、計数時間に関連付けて記憶されている確認計数の結果を確認可能に表示することで、手術中にガーゼＧの計数が実行されたことを任意のタイミングで確認することができる。従って、ガーゼＧを確実に計数して当該ガーゼＧの使用に関する安全管理等を万全とすることができる。 As described above, according to the operation of the gauze counting system S according to the embodiment, the gauze identification information stored in the IC tag T of each gauze G is wirelessly read during the operation, and the read gauze identification The gauze G is counted during the operation based on the information, and the count result and the counting time are associated with each other and stored in the memory 18 so as to be readable and displayed. Therefore, by displaying the result of the confirmation count stored in association with the count time so as to be able to be confirmed, it is possible to confirm at any timing that the count of the gauze G has been executed during the operation. Therefore, the gauze G can be counted reliably to ensure safety management and the like regarding the use of the gauze G.
　また、手術中の複数の既定の計数時間において、ガーゼ識別情報の読み取り、ガーゼの計数並びに確認計数の結果等の記憶を行うので、既定の計数時間に対応した確認計数の結果を確認可能に表示することで、手術中にガーゼＧの計数が実行されたことを当該計数時間との関係で後から確認することができる。 In addition, gauze identification information is read, gauze count and confirmation count results are stored at multiple predetermined count times during the operation, so the confirmation count results corresponding to the predetermined count times can be displayed. By doing this, it is possible to confirm later that gauze G has been counted during the operation in relation to the counting time.
　更に、手術中の複数の計数時間について確認計数が行われた回数を告知する場合には、手術中におけるガーゼＧの計数が行われた回数を直ちに確認することができる。 Furthermore, when the number of confirmation counts for a plurality of counting times during surgery is notified, the number of times gauze G is counted during surgery can be immediately confirmed.
　また、各カウント業務の結果としての計数枚数合計等が例えば図９乃至図１１に示すような態様で表示される場合は、手術中にガーゼＧの計数が複数回実行されたことを、既定の計数時間との関係で後から確認することができる。 In addition, when the total number of counts as a result of each counting operation is displayed in a manner as shown in FIGS. 9 to 11, for example, it is determined that the gauze G has been counted a plurality of times during the operation. This can be confirmed later in relation to the counting time.
　更にまた、計数結果が既定の閾値割合以下の場合に表示部１７を用いて警告を表示する場合には、計数結果が少ない旨を迅速に認識することができる。 Furthermore, when a warning is displayed using the display unit 17 when the counting result is equal to or less than the predetermined threshold ratio, it can be quickly recognized that the counting result is small.
　また、手術の終了後において各確認計数の結果が閾値割合以下の場合に警告を表示する構成とすれば、確認計数が行われていない旨等を手術後に迅速に認識することができる。 In addition, if the configuration is such that a warning is displayed when the result of each confirmation count is equal to or less than the threshold ratio after the operation is completed, it can be quickly recognized after the operation that the confirmation count has not been performed.
　なお、図６（ｂ）を用いて説明したチェックポイントターミナル３３では、アンテナ５１の形状が馬蹄形である場合について説明したが、アンテナ５１の形状としては他の例も考えられる。例えば、いわゆる腹腔内視鏡手術（腹腔鏡手術）のような切開創Ｗの面積が比較的小さい場合等においては、馬蹄形ではなく、切開創Ｗの周囲を全て囲むような例えば円環状又は環状のアンテナを用いても良いし、小型の円形状や方形状のような平面状のアンテナでも良いし、小型の線状アンテナでも良い。また、いわゆる開腹手術と呼ばれるような切開創Ｗが比較的大きい際も馬蹄形ではなく、切開創Ｗの周囲を全て囲むような例えば円環状又は環状のアンテナを用いても良い。また、いわゆる腹腔内視鏡手術（腹腔鏡手術）に用いられるトロッカーとの組み合わせでは、腹腔内に挿入される筒状部分を囲むようにした円環状のアンテナをトロッカーに装着すると共に、トロッカーが挿入される切開創の傍（トロッカー外部）にも他のアンテナを例えば貼り付け、これら二つのアンテナによりトロッカー内を通過するガーゼＧ（使用前の開封済みガーゼＧ又は使用済みガーゼＧのいずれか）のガーゼ識別情報を検出する構成が考えられる。この場合、トロッカーを通して腹腔内に挿入される開封済みガーゼＧのガーゼ識別情報をトロッカーの筒状部分に装着された円環上のアンテナにより読み取ると共に、使用されたトロッカーが除去された後の切開創から腹腔内に残った使用済みガーゼＧを取り出す際には、上記切開創の傍に貼り付けられたアンテナで当該使用済みガーゼＧのガーゼ識別情報を読み取るように構成することもできる。なお、上記トロッカーに装着する円環状のアンテナ又はトロッカー外部のアンテナのうちいずれか一方のみを用いて、トロッカーを通して腹腔内に挿入される開封済みガーゼＧのガーゼ識別情報と、腹腔内から取り出される使用済みガーゼＧのガーゼ識別情報と、の両方を読み取らせても良い。この場合、図４に例示する表示部１７上の表示としては、患者ＰＴの体内に入っているガーゼＧと当該体内から取り出されたガーゼＧとを識別可能に表示するように構成することもできる。 In the checkpoint terminal 33 described with reference to FIG. 6B, the case where the shape of the antenna 51 is a horseshoe shape has been described, but other examples of the shape of the antenna 51 are also conceivable. For example, in the case where the area of the incision W is relatively small, such as so-called laparoscopic surgery (laparoscopic surgery), it is not a horseshoe shape, for example, an annular or annular shape surrounding the entire incision W An antenna may be used, a planar antenna such as a small circular or rectangular shape, or a small linear antenna. Further, even when the incision W called a so-called laparotomy is relatively large, an annular or annular antenna that surrounds the entire incision W instead of the horseshoe shape may be used. In addition, in combination with a trocar used in so-called laparoscopic surgery (laparoscopic surgery), an annular antenna that surrounds a cylindrical portion inserted into the abdominal cavity is attached to the trocar, and the trocar is inserted. Another antenna is also attached to the side of the incision wound (external to the trocar), and the gauze G (either the unsealed gauze G before use or the used gauze G) that passes through the trocar by these two antennas. A configuration for detecting gauze identification information is conceivable. In this case, the gauze identification information of the opened gauze G inserted into the abdominal cavity through the trocar is read by the antenna on the ring attached to the tubular portion of the trocar, and the incision wound after the used trocar is removed. When the used gauze G remaining in the abdominal cavity is taken out, the gauze identification information of the used gauze G can be read with an antenna attached to the side of the incision. In addition, the gauze identification information of the opened gauze G inserted into the abdominal cavity through the trocar using only one of the annular antenna attached to the trocar or the antenna outside the trocar, Both the gauze identification information of the finished gauze G may be read. In this case, as a display on the display unit 17 illustrated in FIG. 4, the gauze G in the patient PT and the gauze G taken out from the body can be displayed so as to be distinguishable. .
　更に上述してきた実施形態では、ガーゼ入れ３２を用いて使用済みガーゼＧを集めることとしたが、これ以外に、ガーゼ入れ３２を用いずに、第２収納部１３に直接使用済みガーゼＧを投入するように構成してもよい。 Further, in the embodiment described above, the used gauze G is collected using the gauze container 32. However, in addition to this, the used gauze G is directly put into the second storage unit 13 without using the gauze container 32. You may comprise.
　また、上述した実施形態では、本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３の四つを備えるガーゼ計数システムＳについて本発明を適用した場合について説明したが、これ以外に、上記チェックポイントターミナル３３を除いた本体装置１、ハンディ装置３０及び卓上装置３１の三つを備えるガーゼ計数システムについて本発明を適用することも可能である。 In the above-described embodiment, the case where the present invention is applied to the gauze counting system S including the main body device 1, the handy device 30, the tabletop device 31, and the checkpoint terminal 33 has been described. It is also possible to apply the present invention to a gauze counting system including the main body device 1, the handy device 30, and the desktop device 31 excluding the checkpoint terminal 33.
　更に、上述した実施形態では、本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３の四つを備えるガーゼ計数システムＳについて本発明を適用した場合について説明したが、これら各装置におけるそれぞれの機能は、「登録」機能、「回収」機能、「中間確認」機能及び「探査」機能の四つに分類することができる。このとき登録機能は、手術室ＯＰに持ち込まれた滅菌保持ガーゼＧについて上記記憶計数（即ち、上記本体装置１の第１収納部１２又は（開封済みガーゼＧについての）上記卓上装置３１における記憶計数）を行う機能である。また回収機能は、使用済みガーゼＧについて上記確認計数（即ち、上記本体装置１の第２収納部１３における確認計数）を行う機能である。更に「中間確認」機能は、上記登録後から回収前までの途中経過を把握する（即ち、上記卓上装置３１及び上記チェックポイントターミナル３３における確認計数を行う）ための機能である。そして「探査」機能は、上記「登録」機能、「回収」機能及び「中間確認」機能のいずれにおいても計数されなかったガーゼＧを計数する（即ち、上記ハンディ装置３０を用いて計数する）ための機能である。そして、各機能を実現しようとする場合であって、予め手術室ＯＰに持ち込まれる滅菌保持ガーゼＧの数が判っているとき、当該数を予め「回収」機能を有する装置に記憶させておくことができるならば、実施形態に係るガーゼ計数システムＳを構成するため装置としては、当該「回収」機能を備えた装置だけでも良いし、更には「登録」機能及び「回収」機能をも備えていればより良い。また更に好適には、これらに「中間確認」機能又は「探査」機能のいずれか、若しくはそれらの両方を加えた機能を有する装置とすればなお良い。またこれらの場合、「登録」機能と「回収」機能を備えた装置は、一体のものであっても、別体のものであっても良い。 Further, in the above-described embodiment, the case where the present invention is applied to the gauze counting system S including the main device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33 has been described. These functions can be classified into four functions: a “registration” function, a “collection” function, an “intermediate confirmation” function, and a “search” function. At this time, the registration function stores the memory count of the sterile holding gauze G brought into the operating room OP (that is, the memory count in the first storage unit 12 of the main body device 1 or the tabletop device 31 (for the opened gauze G). ). The collection function is a function for performing the confirmation count (that is, the confirmation count in the second storage unit 13 of the main body device 1) for the used gauze G. Furthermore, the “intermediate confirmation” function is a function for grasping the progress in progress from the registration to the collection (that is, performing confirmation counting in the desktop device 31 and the checkpoint terminal 33). The “search” function counts the gauze G that has not been counted in any of the “registration” function, “collection” function, and “intermediate confirmation” function (that is, counts using the handy device 30). It is a function. And when it is a case where it is going to implement | achieve each function, Comprising: When the number of the sterilization holding | maintenance gauze G brought into the operating room OP is known beforehand, the said number should be memorize | stored beforehand in the apparatus which has a "collection" function. If possible, the device for configuring the gauze counting system S according to the embodiment may be only a device having the “recovery” function, and further having a “registration” function and a “recovery” function. Better. More preferably, a device having a function obtained by adding either or both of the “intermediate confirmation” function and the “exploration” function to these devices may be used. In these cases, the apparatus having the “registration” function and the “collection” function may be integrated or separate.
　更にまた、上述してきた実施形態では、表示部１７を用いて種々の警告等を行うこととしたが、これ以外に、例えばブザー又は音声を用いて行うように構成してもよい。 Furthermore, in the embodiment described above, various warnings and the like are performed using the display unit 17, but other than this, for example, a buzzer or a voice may be used.
　また、上述してきた本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３それぞれの動作に対応したプログラムを、コンパクトディスク等の記録媒体に記録しておき、或いはインターネット等のネットワークから取得して記録しておき、それを汎用のマイクロコンピュータ等により読み出して実行することにより、当該マイクロコンピュータ等を、本体装置１、ハンディ装置３０、卓上装置３１及びチェックポイントターミナル３３それぞれの動作を制御する処理部として機能させることも可能である。 In addition, the programs corresponding to the operations of the main body device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33 described above are recorded on a recording medium such as a compact disc or acquired from a network such as the Internet. The process of controlling the operations of the main body device 1, the handy device 30, the desktop device 31, and the checkpoint terminal 33 by reading and executing the data with a general-purpose microcomputer or the like. It is also possible to function as a part.
　以上説明したように、本発明はガーゼ計数システムの分野に利用することが可能であり、特にガーゼＧの計数に係る安全管理のためのガーゼ計数システムの分野に適用すれば特に顕著な効果が得られる。 As described above, the present invention can be used in the field of gauze counting systems, and particularly when applied to the field of gauze counting systems for safety management related to gauze G counting, a particularly remarkable effect can be obtained. It is done.
　１　　本体装置
　２、３　　アンテナ
　１０　　投入口
　１１、１４　　取っ手
　１２　　第１収納部
　１３　　第２収納部
　１５　　蓋
　１６　　ヒンジ
　１７　　表示部
　１７Ａ、１７Ｂ、１７Ｃ、１７Ｄ　　表示領域
　１８　　メモリ
　２０　　脚
　２１　　フットスイッチ
　２２　　開口部
　３０　　ハンディ装置
　３１　　卓上装置
　３２　　ガーゼ入れ
　３３　　チェックポイントターミナル
　４０　　本体
　４１、４２、５１　　アンテナ
　４３　　接続線
　４４、４５　　電池
　４６　　切換部
　５２　　送信部
　Ｓ　　ガーゼ計数システム
　Ｇ、Ｇ１、Ｇ２　　ガーゼ
　Ｔ　　ＩＣタグ
　Ｐ　　パッケージ
　ＯＰ　　手術室
　ＰＴ　　患者
　Ｂ　　手術台
　Ｗ　　切開創
　ＡＲ　　清潔野
　Ｄ１、Ｄ２、Ｄ３、Ｄ４　　ガーゼ情報 DESCRIPTION OF SYMBOLS 1 Main body apparatus 2, 3 Antenna 10 Slot 11, 14 Handle 12 1st accommodating part 13 2nd accommodating part 15 Cover 16 Hinge 17 Display part 17A, 17B, 17C, 17D Display area 18 Memory 20 Leg 21 Foot switch 22 Opening part 30 Handy device 31 Desktop device 32 Gauze holder 33 Checkpoint terminal 40 Main body 41, 42, 51 Antenna 43 Connection line 44, 45 Battery 46 Switching unit 52 Transmitter S Gauze counting system G, G1, G2 Gauze T IC tag P Package OP Operating room PT Patient B Operating table W Incision wound AR Clean field D1, D2, D3, D4 Gauze information

Claims (8)

  1. 　手術用のガーゼを識別するためのガーゼ識別情報であって、無線により読み取られるガーゼ識別情報を記憶する識別情報記憶手段をそれぞれに備えるガーゼを、前記手術中に計数するガーゼ計数システムであって、
    　前記識別情報記憶手段に記憶されている前記ガーゼ識別情報を、前記手術中に前記無線により読み取る読取手段と、
    　前記読み取られたガーゼ識別情報に基づいて、前記手術中に前記ガーゼを計数する計数手段と、
    　前記計数手段による計数結果を示す結果情報と、当該計数が行われた時刻を示す時刻情報と、を関連付けて、読み出し可能に保持する保持手段と、
    　前記保持されている結果情報を、前記時刻情報に関連付けて告知する告知手段と、
    　を備えることを特徴とするガーゼ計数システム。     Gauze identification information for identifying gauze for surgery, and a gauze counting system that counts gauze each having identification information storage means for storing gauze identification information read by radio during the surgery,
    Reading means for wirelessly reading the gauze identification information stored in the identification information storage means during the surgery;
    Counting means for counting the gauze during the operation based on the read gauze identification information;
    A holding means for holding the result information indicating the counting result by the counting means and the time information indicating the time when the counting is performed in association with each other;
    Notification means for notifying the held result information in association with the time information;
    A gauze counting system comprising:
  2. 　請求項１に記載のガーゼ計数システムにおいて、
    　前記計数を行うべき時間として予め設定された計数時間を記憶する時間記憶手段を更に備え、
    　前記読取手段、前記計数手段及び前記保持手段は、前記手術中の前記計数時間において、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持を行うことを特徴とするガーゼ計数システム。     The gauze counting system according to claim 1,
    It further comprises time storage means for storing a preset counting time as the time for performing the counting,
    The reading unit, the counting unit, and the holding unit read the gauze identification information, count the gauze, hold the result information, and the time information during the counting time during the operation. Gauze counting system.
  3. 　請求項２に記載のガーゼ計数システムにおいて、
    　前記時間記憶手段は異なる複数の前記計数時間を記憶し、
    　前記読取手段、前記計数手段及び前記保持手段は、前記手術中の異なる前記計数時間において、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持をそれぞれ行い、
    　前記告知手段は、各前記保持されている結果情報を識別可能に告知することを特徴とするガーゼ計数システム。     The gauze counting system according to claim 2,
    The time storage means stores a plurality of different counting times;
    The reading means, the counting means, and the holding means perform reading of the gauze identification information, counting of the gauze, and holding of the result information and the time information, respectively, at different counting times during the operation,
    The gauze counting system characterized in that the notification means notifies each of the held result information in an identifiable manner.
  4. 　請求項２に記載のガーゼ計数システムにおいて、
    　前記読取手段、前記計数手段及び前記保持手段は、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持を、前記手術中に複数回行い、
    　前記告知手段は、各前記保持されている結果情報を識別可能に、且つ前記計数を行うべき時間として予め設定された計数時間との関係において告知することを特徴とするガーゼ計数システム。     The gauze counting system according to claim 2,
    The reading means, the counting means and the holding means read the gauze identification information, count the gauze and hold the result information and the time information a plurality of times during the operation,
    The gauze counting system is characterized in that the notifying means notifies each held result information in a identifiable manner and in relation to a counting time set in advance as a time to perform the counting.
  5. 　請求項２から請求項４のいずれか一項に記載のガーゼ計数システムにおいて、
    　前記読取手段、前記計数手段及び前記保持手段は、前記手術中の複数の前記計数時間において、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持をそれぞれ行い、
    　前記告知手段は、前記ガーゼ識別情報の読み取り、前記ガーゼの計数並びに前記結果情報及び前記時刻情報の保持が前記手術中に行われた回数を告知することを特徴とするガーゼ計数システム。     In the gauze counting system according to any one of claims 2 to 4,
    The reading means, the counting means, and the holding means perform reading of the gauze identification information, counting of the gauze, and holding of the result information and the time information, respectively, at a plurality of the counting times during the operation,
    The notification means notifies the number of times that the gauze identification information is read, the gauze is counted, and the result information and the time information are retained during the operation.
  6. 　請求項１から請求項５のいずれか一項に記載のガーゼ計数システムにおいて、
    　前記計数結果が、前記手術に用いられるべき前記ガーゼの総数に対応して予め設定された基準数以下の場合に警告を発する警告手段を更に備えることを特徴とするガーゼ計数システム。     In the gauze counting system according to any one of claims 1 to 5,
    A gauze counting system further comprising warning means for issuing a warning when the counting result is equal to or less than a preset reference number corresponding to the total number of the gauze to be used in the surgery.
  7. 　請求項１から請求項６いずれか一項に記載のガーゼ計数システムにおいて、
    　前記手術の終了後において、前記保持されている結果情報を読み出す読出手段と、
    　前記読み出された結果情報により示される前記計数結果が、前記手術に用いられるべき前記ガーゼの総数に対応して予め設定された基準数以下の場合に警告を発する警告手段と、
    　を更に備えることを特徴とするガーゼ計数システム。     In the gauze counting system according to any one of claims 1 to 6,
    Reading means for reading out the held result information after the operation is completed;
    Warning means for issuing a warning when the counting result indicated by the read result information is equal to or less than a preset reference number corresponding to the total number of the gauze to be used in the surgery;
    The gauze counting system further comprising:
  8. 　手術用のガーゼを識別するためのガーゼ識別情報であって、無線により読み取られるガーゼ識別情報を記憶する識別情報記憶手段をそれぞれに備えるガーゼを、前記手術中に計数するガーゼ計数システムに含まれるコンピュータを、
    　前記識別情報記憶手段に記憶されている前記ガーゼ識別情報を、前記手術中に前記無線により読み取る読取手段を制御する読取制御手段、
    　前記読み取られたガーゼ識別情報に基づいて、前記手術中に前記ガーゼを計数する計数手段、
    　前記計数手段による計数結果を示す結果情報と、当該計数が行われた時刻を示す時刻情報と、を関連付けて、読み出し可能に保持する保持手段、及び、
    　前記保持されている結果情報を、前記時刻情報に関連付けて告知する告知手段を制御する告知制御手段、
    　として機能させることを特徴とするプログラム。     A computer included in a gauze counting system for counting gauze identification information for identifying a gauze for surgery and counting gauze each having identification information storage means for storing gauze identification information read wirelessly during the surgery The
    A reading control means for controlling the reading means for wirelessly reading the gauze identification information stored in the identification information storage means during the operation;
    Counting means for counting the gauze during the operation based on the read gauze identification information;
    Holding means for holding the result information indicating the counting result by the counting means and the time information indicating the time when the counting is performed in association with each other; and
    Notification control means for controlling notification means for notifying the held result information in association with the time information;
    A program characterized by functioning as
PCT/JP2013/083341 2013-12-12 2013-12-12 Gauze counting system and program WO2015087428A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2019171065A (en) * 2018-03-27 2019-10-10 コヴィディエン リミテッド パートナーシップ Method and apparatus for identifying locations of transponder-tagged objects used during clinical procedures, by means of trocar
JP2021079066A (en) * 2019-11-15 2021-05-27 威海易一医療器械有限公司 Surgical gauze counter

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006280445A (en) * 2005-03-31 2006-10-19 Toshiba Corp In-vivo leaving prevention system, and gauze
US20070268133A1 (en) * 2006-03-17 2007-11-22 Med Wave, Llc System for tracking surgical items in an operating room environment
US20120193410A1 (en) * 2009-09-21 2012-08-02 Diego Benetti Plant and method for identification of gauzes in surgery room
JP2013081563A (en) * 2011-10-06 2013-05-09 Hogi Medical:Kk Gauze counting system and program for gauze counting

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006280445A (en) * 2005-03-31 2006-10-19 Toshiba Corp In-vivo leaving prevention system, and gauze
US20070268133A1 (en) * 2006-03-17 2007-11-22 Med Wave, Llc System for tracking surgical items in an operating room environment
US20120193410A1 (en) * 2009-09-21 2012-08-02 Diego Benetti Plant and method for identification of gauzes in surgery room
JP2013081563A (en) * 2011-10-06 2013-05-09 Hogi Medical:Kk Gauze counting system and program for gauze counting

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2019171065A (en) * 2018-03-27 2019-10-10 コヴィディエン リミテッド パートナーシップ Method and apparatus for identifying locations of transponder-tagged objects used during clinical procedures, by means of trocar
JP2021079066A (en) * 2019-11-15 2021-05-27 威海易一医療器械有限公司 Surgical gauze counter

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