CN110584802A - Counting method and system for surgical instruments - Google Patents
Counting method and system for surgical instruments Download PDFInfo
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- CN110584802A CN110584802A CN201910886198.0A CN201910886198A CN110584802A CN 110584802 A CN110584802 A CN 110584802A CN 201910886198 A CN201910886198 A CN 201910886198A CN 110584802 A CN110584802 A CN 110584802A
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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
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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
- A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
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Abstract
The invention relates to a method for counting surgical instruments, which is characterized in that under the condition of not opening a bag, a surgical instrument counting system is utilized to identify the category of a surgical instrument bag to be detected, and omnibearing X-ray scanning is carried out on the surgical instrument bag to be detected, so that the surgical instrument information of the surgical instrument bag to be detected is obtained; comparing the surgical instrument information of the surgical instrument package to be tested with the surgical instrument packages of the same type in the surgical instrument standard library; if the comparison result is consistent, the surgical instrument package to be checked is put in storage or issued; if the comparison result is abnormal, the surgical instrument counting management system sends out an alarm prompt. The present invention also includes a surgical instrument inventory system, comprising: the device comprises an identification unit, a transmission unit, an X-ray scanning unit, a storage unit, a processing unit, an alarm unit and the like. The surgical instrument counting method and system provided by the invention have the advantages of low counting cost, high efficiency, small actual operation difficulty and strong practicability.
Description
Technical Field
The invention belongs to the technical field of medical instrument management, and particularly relates to a counting method and system for surgical instruments.
Background
With continuous innovation of modern medical science and technology and continuous development and application of new services, higher requirements are put forward on the management of an operating room, the operating room bears heavy and complex operation treatment and traumatic patient rescue work of a whole hospital, and risk management of the operating room is directly related to the benefits of patients, so that the management and inventory of operating table instruments and articles are serious and serious problems, no errors can occur, how to make the work is the common pursuit target of operating personnel, and the work needs to be summarized, groped and perfected continuously.
The establishment and the perfection of the surgical instrument bag are the summary of years of clinical experience, and according to different types of surgical requirements, applicable general surgical instruments or special surgical instruments can be selected and assembled into various surgical instrument bags in a matching way. Surgical instruments, which are important tools for surgical treatment, have been the main subjects of hospital sterilization subjects, and after use, they need to undergo a series of standardized procedures such as recovery, sorting, cleaning, sterilization, drying, packaging, sterilization, storage, distribution, etc., which are generally completed in hospital sterilization supply centers. Therefore, the work quality of the disinfection supply center is directly related to the safety of medical treatment and nursing, and the strengthening of the storage and management quality of sterile articles is a key link for preventing and controlling hospital infection in hospitals. The hospital disinfection supply center has to count and sort the surgical instruments in the surgical instrument bag before the surgical instruments are disinfected, dried, sterilized and the like, the cleaning of the surgical instrument bag in the prior art is generally completed by manual unpacking, and the manual unpacking inspection mode has the problems that once accidents such as surgical instrument loss and the like occur, related units cannot define responsibility, and moreover, a large amount of personnel and time are consumed for counting, the labor efficiency is very low, the labor intensity is high, the used surgical instruments are easy to cause injury to human bodies during unpacking inspection, and the like, so that certain difficulty is brought to hospital management work.
Based on the problems in the prior art, the chinese patent with application number 201010284431.7 discloses a management system and method in the field of application of RFID surgical instruments, which mainly adopts the scheme of attaching an RFID tag to each surgical instrument in each surgical pack to collect and store the flow attribute information of the surgical pack; wherein, after the operation, the operating room is checked: before and after the operation of the operation bag, reading the tag data by using a handheld RFID reader-writer, checking the number, names and types of instruments in the operation bag, and recording the actual consumption condition; after confirmation, the system automatically records the date of the inspection and the inspector information. In fact, however, the RFID tag embedded in the metal surgical instrument is expensive and difficult to process, and the RFID tag itself is easy to fall off after long-time use, and therefore, when the handheld RFID reader-writer is used for reading the RFID tag information embedded in the surgical instrument, the RFID tag information cannot be read or the transmission stability is poor due to the fact that most of the surgical instruments are made of stainless steel materials due to the blocking of the metal, and the practical use is inconvenient.
Disclosure of Invention
In order to overcome the defects that related responsibilities cannot be defined and labor intensity is high after accidents occur when medical instruments are manually unpacked and checked, and the cost is high when electronic tags are embedded into surgical instruments, the process difficulty is high, and the stability of electronic tag information transmission is poor in the prior art, the application provides the checking method and the system for the surgical instruments.
In order to achieve the purpose, the technical scheme of the invention is as follows:
a method for checking surgical instruments is characterized in that under the condition that a surgical instrument is not unpacked, a surgical instrument checking system is used for identifying the type of a surgical instrument pack to be detected, and omnibearing X-ray scanning is carried out on the surgical instrument pack to be detected, so that the surgical instrument information of the surgical instrument pack to be detected is obtained;
comparing the surgical instrument information of the surgical instrument package to be tested with the surgical instrument packages of the same type in the surgical instrument standard library;
if the comparison result is consistent, the surgical instrument information of the surgical instrument package to be checked is the same as the surgical instrument packages of the same type in the surgical instrument standard library, and the surgical instrument packages to be checked are put in a warehouse or issued; if the comparison result is abnormal, whether the number of the surgical instruments is different or the shapes of the images are different, the surgical instrument counting management system sends an alarm prompt to remind related personnel to manually open and count the surgical instrument package;
in the prior art, the counting of the surgical instrument packages is generally finished by manual unpacking, but the counting method of the surgical instruments can be finished under the condition that the packages are not unpacked, because the operation procedures of disinfection, drying, sterilization and the like of the surgical instrument packages generally occur in a hospital disinfection supply center under the general condition, and once accidents such as surgical instrument loss and the like occur after the packages are unpacked, related units cannot define responsibility;
the reason why the X-ray is adopted to carry out the omnibearing scanning on the surgical instrument bag to be detected is that for the surgical instrument bag which is not unpacked, a conventional image acquisition method is adopted, such as a camera shooting mode, as the X-ray cannot penetrate through the packing cloth of the surgical instrument bag, the surgical instrument information of the surgical instrument in the surgical instrument bag cannot be obtained, the X-ray has strong penetrability and can penetrate through the packing cloth of the surgical instrument bag, but the X-ray cannot penetrate through metal, almost all the surgical instruments are metal at present, the requirement that the surgical instrument information in the surgical instrument bag can be obtained by penetrating through the packing cloth of the surgical instrument bag under the condition of not unpacking can be met, the X-ray scanning image can be finally obtained, and the identification of the surgical instrument information is completed by comparing with the surgical instrument information in a surgical instrument standard library;
the ray for scanning the surgical instrument package to be detected is not limited to the X ray, and other rays suitable for the technical scheme are within the protection scope of the invention.
The preferable technical scheme is as follows:
according to the method for counting the surgical instruments, the surgical instrument packages to be detected are provided with corresponding marks for the surgical instrument counting system to identify the types of the surgical instrument packages to be detected.
Before comparing the surgical instrument information of the surgical instrument package to be tested with the surgical instrument packages of the same category in the surgical instrument standard library, the method for counting the surgical instruments further comprises the following steps: and inputting the surgical instrument information of all the surgical instrument packages into the surgical instrument standard library.
The counting method of the surgical instruments comprises the number and the images of the surgical instruments, for example, the surgical instrument information of the neurosurgical microsurgical kit comprises 6 surgical instruments (microscister, sharp cister, microscratcher, angle microscister, ball-end microscratch and nerve drag hook) and images of the 6 surgical instruments.
According to the counting method of the surgical instruments, the identification is a two-dimensional code, a bar code or an RFID chip.
According to the counting method of the surgical instruments, the marks are arranged on the surgical instrument package to be tested in one of the modes of pasting, inserting, wearing or implanting.
The application also discloses a surgical instrument counting system for the surgical instrument counting method, which is used for identifying medical instruments in a surgical instrument package, and is characterized in that the surgical instrument counting system comprises:
an identification unit: the identification device is used for identifying the identification on the surgical instrument bag to be detected so as to identify the category of the surgical instrument bag;
a transfer unit; the counting machine is used for conveying surgical instrument packages to be counted, so that the counting efficiency of the surgical instrument packages is improved;
an X-ray scanning unit; the X-ray scanning device is used for carrying out omnibearing X-ray scanning on the surgical instrument package to be detected to obtain surgical instrument information of the surgical instrument package to be detected;
in actual operation, only one X-ray scanning image can be obtained, and in fact surgical instruments in the surgical instrument package to be tested are various in types and can be placed in disorder, and the number of the surgical instruments in the surgical instrument package can not be conveniently identified only by one X-ray scanning image, and the surgical instruments can not be accurately contrasted and identified according to the image, so that the X-ray scanning devices are arranged in multiple directions of the surgical instrument package to be tested, and the subsequent comparison with a surgical instrument standard library is facilitated;
a storage unit; the X-ray scanning device is used for storing X-ray scanning images of various instruments obtained after scanning;
a processing unit: receiving an X-ray scanning image and an identifier, and comparing the X-ray scanning image with the surgical instrument packages of the same category in a surgical instrument standard library, wherein the comparison comprises the quantity comparison and the image comparison of surgical instruments;
an alarm unit: the device comprises an audible and visual alarm unit for giving an audible and visual alarm when the comparison result is abnormal.
The preferable technical scheme is as follows:
a surgical instrument inventory system as described above, further comprising a communication unit coupling the processing unit and the surgical instrument standard library.
In the above-mentioned surgical instrument counting system, the X-ray scanning unit includes a plurality of X-ray scanning devices disposed around the conveying unit, so that the X-ray scanning devices can perform 360 ° stereoscopic scanning on the surgical instrument packages conveyed by the conveying unit from at least a plurality of viewing angles, such as front, rear, left, right, up, down, and the like.
The surgical instrument counting system has the scanning time interval of 0.1-0.2 seconds.
Has the advantages that:
(1) according to the counting method for the surgical instruments, the surgical instruments in the surgical instrument bag can be counted and sorted on the premise of not opening the bag, and compared with the prior art, the defects that the responsibilities of related units cannot be defined during manual bag opening inspection and errors can occur during manual counting of the surgical instruments are avoided;
(2) the surgical instrument counting system can identify the type of the surgical instrument bag to be detected, carry out omnibearing X-ray scanning on the surgical instrument bag to be detected and acquire the surgical instrument information of the surgical instrument bag to be detected, and has the advantages of low counting cost, high efficiency, small actual operation difficulty and strong practicability.
Drawings
Fig. 1 is a system flow diagram of a surgical instrument inventory system.
Detailed Description
The invention will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Further, it should be understood that various changes or modifications of the present invention may be made by those skilled in the art after reading the teaching of the present invention, and such equivalents may fall within the scope of the present invention as defined in the appended claims.
A method for counting surgical instruments, as shown in fig. 1, comprising the following steps:
(1) inputting the surgical instrument information of all surgical instrument packages in a surgical instrument standard library;
(2) the method comprises the following steps of setting corresponding marks on a surgical instrument bag to be detected for identifying the category of the surgical instrument bag, wherein the marks are two-dimensional codes, bar codes or RFID chips, and are arranged on the surgical instrument bag to be detected in one of sticking, inserting, wearing or implanting modes;
(3) identifying the identifier of the surgical instrument bag to be detected by using a surgical instrument counting system;
(4) performing omnibearing X-ray scanning on the surgical instrument package to be detected by using a surgical instrument counting system to obtain surgical instrument information of the surgical instrument package to be detected;
(5) comparing the surgical instrument information of the surgical instrument package to be tested obtained in the step (4) with the surgical instrument packages of the same type in the surgical instrument standard library;
(6) if the comparison result is consistent, the surgical instrument package to be checked is put in storage or issued; otherwise, executing the step (7);
(7) the surgical instrument counting management system sends out an alarm prompt.
The invention also discloses a surgical instrument counting system for the surgical instrument counting method, and the surgical instrument counting system comprises:
an identification unit: the identification device is used for identifying the identification on the surgical instrument bag to be detected;
a transfer unit; used for conveying the surgical instrument packages to be checked;
an X-ray scanning unit; the X-ray scanning device is used for carrying out omnibearing X-ray scanning on the surgical instrument package to be detected to obtain an X-ray scanning image of the surgical instrument package to be detected;
the X scanning unit comprises a plurality of X-ray scanning devices arranged around the conveying unit and is used for carrying out 360-degree omnibearing stereoscopic scanning on the surgical instrument package to be detected on the conveying unit, and the scanning time interval is 0.1-0.2 second.
A storage unit; the surgical instrument information is used for storing the input surgical instrument package;
a processing unit: receiving the X-ray scanning image and the identification, and comparing the X-ray scanning image with the surgical instrument packages of the same category in the surgical instrument standard library;
an alarm unit: the device comprises an audible and visual alarm unit, a control unit and a display unit, wherein the audible and visual alarm unit is used for giving out audible and visual alarm when the comparison result is abnormal;
a communication unit: the communication unit couples the processing unit with the surgical instrument standard library.
Claims (10)
1. A method for counting surgical instruments is characterized in that under the condition that a surgical instrument is not unpacked, a surgical instrument counting system is used for identifying the type of a surgical instrument package to be detected, and omnibearing X-ray scanning is carried out on the surgical instrument package to be detected, so that the surgical instrument information of the surgical instrument package to be detected is obtained;
comparing the surgical instrument information of the surgical instrument package to be tested with the surgical instrument packages of the same type in the surgical instrument standard library;
if the comparison result is consistent, the surgical instrument package to be checked is put in storage or issued; if the comparison result is abnormal, the surgical instrument counting management system sends out an alarm prompt.
2. The method as claimed in claim 1, wherein the surgical instrument packages to be tested are provided with corresponding identifiers for identifying the category of the surgical instrument packages.
3. The method of claim 1, wherein before comparing the surgical instrument information of the surgical instrument package to be tested with the surgical instrument packages of the same category in the surgical instrument standard library, the method further comprises: and inputting the surgical instrument information of all the surgical instrument packages into the surgical instrument standard library.
4. The method of claim 1, wherein the surgical instrument information includes a number of surgical instruments and an image.
5. A method of inventorying surgical instruments according to claim 2, wherein the identifier is a two-dimensional code or a bar code or an RFID chip.
6. The method as claimed in claim 5, wherein the mark is attached to the surgical kit by one of adhering, inserting, wearing or implanting.
7. A surgical instrument inventory system for identifying medical instruments within a surgical instrument kit, the surgical instrument inventory system comprising:
an identification unit: the identification device is used for identifying the identification on the surgical instrument bag to be detected;
a transfer unit; used for conveying the surgical instrument packages to be checked;
an X-ray scanning unit; the X-ray scanning device is used for carrying out omnibearing X-ray scanning on the surgical instrument package to be detected to obtain an X-ray scanning image of the surgical instrument package to be detected;
a storage unit; the surgical instrument information is used for storing the input surgical instrument package;
a processing unit: receiving the X-ray scanning image and the identification, and comparing the surgical instrument information of the surgical instrument package to be detected with the surgical instrument packages of the same category in the surgical instrument standard library;
an alarm unit: the device comprises an audible and visual alarm unit for giving an audible and visual alarm when the comparison result is abnormal.
8. A surgical instrument inventory system as recited in claim 7, further comprising a communication unit coupling the processing unit and the surgical instrument standard library.
9. The system as claimed in claim 7, wherein the X-scanning unit comprises a plurality of X-ray scanning devices disposed around the transporting unit for performing 360 ° omni-directional stereoscopic scanning on the surgical instrument package to be tested on the transporting unit.
10. A surgical instrument inventory system as claimed in claim 9, wherein the scan time interval is 0.1-0.2 seconds.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910886198.0A CN110584802A (en) | 2019-09-19 | 2019-09-19 | Counting method and system for surgical instruments |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910886198.0A CN110584802A (en) | 2019-09-19 | 2019-09-19 | Counting method and system for surgical instruments |
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| CN110584802A true CN110584802A (en) | 2019-12-20 |
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| CN201910886198.0A Pending CN110584802A (en) | 2019-09-19 | 2019-09-19 | Counting method and system for surgical instruments |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111104995A (en) * | 2019-12-24 | 2020-05-05 | 上海赞润微电子科技有限公司 | Surgical instrument management system and method based on radio frequency identification |
| CN111161875A (en) * | 2019-12-31 | 2020-05-15 | 上海市肺科医院 | Intelligent checking system for surgical auxiliary instrument |
| CN111882553A (en) * | 2020-07-31 | 2020-11-03 | 中国人民解放军联勤保障部队第九二〇医院 | Automatic identification, counting and checking equipment for surgical instruments and use method thereof |
| CN113552118A (en) * | 2021-07-15 | 2021-10-26 | 海口市骨科与糖尿病医院(上海市第六人民医院海口骨科与糖尿病医院) | Detection method for indicating card in surgical instrument package |
| CN113663935A (en) * | 2021-08-11 | 2021-11-19 | 北京中芯医源科技有限公司 | Automatic sorting and packing method for surgical instruments |
| CN113952048A (en) * | 2021-11-24 | 2022-01-21 | 燕山大学 | Surgical instrument identification device and identification method thereof |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113663935A (en) * | 2021-08-11 | 2021-11-19 | 北京中芯医源科技有限公司 | Automatic sorting and packing method for surgical instruments |
| CN113952048A (en) * | 2021-11-24 | 2022-01-21 | 燕山大学 | Surgical instrument identification device and identification method thereof |
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