CN113441471A - Medical instrument intelligent cleaning system based on big data network - Google Patents

Medical instrument intelligent cleaning system based on big data network Download PDF

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Publication number
CN113441471A
CN113441471A CN202110727570.0A CN202110727570A CN113441471A CN 113441471 A CN113441471 A CN 113441471A CN 202110727570 A CN202110727570 A CN 202110727570A CN 113441471 A CN113441471 A CN 113441471A
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control module
spray
central control
cleaning
medical
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CN113441471B (en
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孙俪桐
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Jiamusi University
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Jiamusi University
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B3/00Cleaning by methods involving the use or presence of liquid or steam
    • B08B3/04Cleaning involving contact with liquid
    • B08B3/10Cleaning involving contact with liquid with additional treatment of the liquid or of the object being cleaned, e.g. by heat, by electricity or by vibration
    • B08B3/12Cleaning involving contact with liquid with additional treatment of the liquid or of the object being cleaned, e.g. by heat, by electricity or by vibration by sonic or ultrasonic vibrations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/04Heat
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/26Accessories or devices or components used for biocidal treatment
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B13/00Accessories or details of general applicability for machines or apparatus for cleaning
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B3/00Cleaning by methods involving the use or presence of liquid or steam
    • B08B3/02Cleaning by the force of jets or sprays
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B3/00Cleaning by methods involving the use or presence of liquid or steam
    • B08B3/04Cleaning involving contact with liquid
    • B08B3/08Cleaning involving contact with liquid the liquid having chemical or dissolving effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10Apparatus features
    • A61L2202/17Combination with washing or cleaning means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/20Targets to be treated
    • A61L2202/24Medical instruments, e.g. endoscopes, catheters, sharps

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Cleaning By Liquid Or Steam (AREA)

Abstract

The invention relates to a medical instrument intelligent cleaning system based on a big data network, which comprises a database, a cleaning basket, a hanging rail, an initial table, a boiling unit, a spray cleaning unit, an ultrasonic cleaning unit, a rinsing unit, a drying unit and an alarm device, wherein related data for cleaning medical instruments are arranged in the database; one side of the initial platform is provided with a control panel, a central control module is arranged in the control panel, and the central control module is connected with a database. According to the invention, the cleaning equipment is connected with the Internet by arranging the database, when medical instruments are cleaned, medical staff can acquire the corresponding cleaning mode from the database only by inputting information such as operation types, patient signs, instrument quantity and the like through the control panel, and meanwhile, the central control module arranged at the equipment end can intelligently adjust the current cleaning state according to the actual condition in real time, so that the cleaning intelligence of the medical equipment is increased, and the cleaning quality is ensured.

Description

Medical instrument intelligent cleaning system based on big data network
Technical Field
The invention relates to the technical field of intelligent cleaning, in particular to a medical instrument intelligent cleaning system based on a big data network.
Background
Medical instruments refer to various devices and appliances used in a medical process, wherein the surfaces of the medical instruments needing to be cleaned frequently comprise various scalpels, operating forceps and the like, the medical instruments needing to be cleaned frequently are cleaned manually at the present stage, but the medical instruments are relatively sharp or sharp, so that operators are easily scratched or pricked in the cleaning process, the integration level of the cleaning devices used currently is low, different devices are needed in the cleaning, drying and other processes, the medical instruments need to be transported manually, the intelligent degree of the cleaning process is not high, the time for the operators is greatly occupied, and the cleaning effect is not ideal.
Disclosure of Invention
Therefore, the invention provides a medical instrument intelligent cleaning system based on a big data network, which is used for overcoming the technical problem that medical instrument cleaning equipment in the prior art cannot be intelligently cleaned based on the operation condition and the cleaning equipment condition.
In order to achieve the above object, the present invention provides a medical instrument intelligent cleaning system based on big data network, comprising,
the database is arranged at the cloud end, and related data for cleaning medical instruments are arranged in the database;
the cleaning basket is used for containing medical instruments to be cleaned, and lifting holes are formed in the cleaning basket;
the hanging rail is used for conveying medical instruments to be cleaned, a grabbing device is arranged on the hanging rail and can lift the cleaning basket through grabbing lifting holes, and a tension sensor is arranged on the grabbing device and can detect the quality of the instruments to be cleaned;
the cleaning device comprises an initial platform, a cleaning basket, a central control module and a database, wherein the initial platform is used for placing the cleaning basket, one side of the initial platform is provided with a control panel, and the control panel is internally provided with the central control module which is connected with the database;
a boiling unit adjacent to the initial stage for boiling and sterilizing the medical instrument;
the spray washing unit is connected with the boiling unit and is used for spray washing the medical instrument to remove large blocks on the surface of the instrument and easily remove attachments;
the ultrasonic cleaning unit is connected with the spray cleaning unit and is used for ultrasonically cleaning the medical instrument to remove the attachments which are difficult to remove on the surface of the instrument, and biological enzyme is added during ultrasonic cleaning to biologically decompose the attachments which are difficult to remove;
the rinsing unit is connected with the spray washing unit and is used for spray washing the medical instrument and removing the ultrasonic cleaning liquid attached to the surface of the instrument;
the drying unit is connected with the spray washing unit and is used for drying the rinsed medical apparatus;
the alarm device is used for alarming when an abnormal condition occurs in the intelligent cleaning process;
before the intelligent cleaning system is used for cleaning the medical instruments, medical staff input operation types, characteristics of patients and instrument cleaning quantities of the medical instruments through a control panel, and the central control module compares the operation types and the characteristics of the patients with data published in the database and judges whether the medical instruments need to be boiled and disinfected;
when medical instruments need to be boiled and disinfected, the central control module determines the boiling and disinfecting time according to the type of operation and the characteristics of patients;
when the spray washing unit is used for spray washing the medical instruments, the spray washing duration is adjusted according to the cleaning quantity and quality of the instruments, whether attachments remain on the surfaces of the medical instruments or not is detected after the primary spray washing is finished, and when the attachments exist, the spray washing unit is used for performing compensation spray washing on the medical instruments;
after the spray washing is finished, the central control module adjusts the ultrasonic washing time length and the biological enzyme adding amount of the ultrasonic washing unit according to the total spray washing time length of the spray washing unit.
Further, the boiling unit includes,
the boiling pool is used for boiling medical instruments needing to be boiled;
the heater is used for heating and boiling the liquid in the boiling tank;
a surgery type matrix A0(A1, A2, A3 and A4) is arranged in the database, wherein A1 is a first preset surgery type, A2 is a second preset surgery type, A3 is a third preset surgery type, A4 is a fourth preset surgery type, the first preset surgery type A1 and the second preset surgery type A2 are operations with infection, and the third preset surgery type A3 and the fourth preset surgery type A4 are operations without infection;
a patient special sign matrix B0(B1, B2, B3 and B4) is further arranged in the database, wherein B1 is a first preset special sign, B2 is a second preset special sign, B3 is a third preset special sign, and B4 is a fourth preset special sign; the first predetermined special sign B1 and the second predetermined special sign B2 are infectious signs; the third pre-established special sign B3 and the fourth pre-established special sign B4 are non-infectious signs;
before the intelligent cleaning system is used for cleaning medical instruments, the medical instruments to be cleaned are placed in a cleaning basket, and the operation types Ai and the special patient signs Bj of the instruments to be cleaned are selected through a control panel, wherein i is 1,2, 3, 4, and j is 1,2, 3, 4;
the central control module compares the operation type Ai with the operation type in the operation type matrix A0, and when the operation type Ai is A1 or A2, the central control module judges that the surgical instrument needs to be boiled;
the central control module compares the special patient sign Bj with the sign in the special patient sign matrix B0, and when the special patient sign Bj is B1 or B2, the central control module judges that the surgical instrument needs to be boiled;
when the operation type Ai is A3 or A4 and the special signs of the patient do not comprise B1 or B2, the central control module judges that the surgical instrument does not need to be boiled;
when the surgical instrument to be cleaned needs to be boiled, the central control module determines the boiling time according to the type of the operation or the special physical signs of the patient.
Further, a boiling time matrix T0 and T0(T11, T12, T21 and T22) are arranged in the database, wherein T11 is the boiling time corresponding to the first preset operation type a1, T12 is the boiling time corresponding to the second preset operation type a2, T21 is the boiling time corresponding to the first preset special sign B1, and T22 is the boiling time corresponding to the second preset special sign B2;
when the instrument to be cleaned is boiled only according to the pth preset operation type Ap, p is 1,2, and the central control module judges that the boiling time is T1 p;
when the instrument to be cleaned is boiled only due to the qth preset special sign Bq, q is 1,2, and the central control module judges that the boiling time is T2 q;
when the special signs of the patient simultaneously comprise a first preset special sign B1 and a second preset special sign B2 and the operation type is A3 or A4, the central control module compares T21 with T22 and selects the larger value of T21 and T22 as the boiling duration;
when the instrument to be cleaned is boiled under the combined action of the pth preset operation type Ap and the pth preset special physical sign Bq, the central control module judges that the boiling time is Tz, and the Tz is (T1p + T2q) x d, wherein d is a boiling time compensation parameter;
when the special physical signs of the patient simultaneously comprise B1 and B2 and the operation type is Ap, the central control module compares T21 with T22, and selects the large value of T21 and T22 as T2 q;
when the central control module determines the boiling time of the medical instrument, the central control module controls the gripping device to grip a cleaning basket containing the medical instrument to be cleaned, and after the gripping is completed, the gripping device moves along the hanging rail and the cleaning basket is placed in the boiling pool.
Further, the spray washing unit includes,
a loading platform for placing the cleaning basket;
the water filtering net is arranged below the carrying platform and used for guiding the flow direction of the cleaning sewage and the attachments on the instruments;
a blow-off pipe for discharging the cleaning sewage and attachments;
the camera device is arranged at the top of the spray washing unit and used for detecting whether attachments on the medical equipment are thoroughly washed and detecting whether the medical equipment are flushed out of the washing basket in the spray washing process, the camera device comprises two cameras, and when the condition that the attachments on the medical equipment are not thoroughly washed is detected, the central control module can judge the positions of the attachments according to images collected by the two cameras;
the spray heads are arranged on the side wall and the top of the spray washing unit, the spray heads can spray water columns to spray medical instruments, angle adjusting devices are arranged at the bottoms of the spray heads and can adjust the water spraying angles of the spray heads, and the number of the spray heads is not less than 6;
when the medical instrument is boiled and disinfected or the central control module judges that the medical instrument does not need to be boiled and disinfected, the central control module controls the grabbing device to grab the cleaning basket, and after grabbing is completed, the grabbing device moves along the hanging rail and places the cleaning basket on the loading platform;
the database is internally provided with a standard spray rinsing time Tp, a standard spray rinsing quality Gp and a standard spray rinsing number Jp
In the process that the grabbing device grabs the cleaning basket, the tension sensor detects the quality G of the medical instrument to be sprayed and washed, and transmits a detection result to the central control module, and the central control module compares the detected quality G with the standard spraying quality Gp:
when G is less than or equal to Gp, the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instrument;
when G is larger than Gp, the central control module judges that the spray rinsing time length is adjusted according to the quality of the medical instrument;
after the medical instruments to be cleaned are placed in the cleaning basket, the cleaning quantity J of the instruments to be cleaned is selected through the control panel, the input quantity J is compared with the number Jp of standard spray-cleaning pieces by the central control module,
when J is less than or equal to Jp, the central control module judges that the spray rinsing time length is not adjusted according to the number of the medical instruments;
and when J is more than Jp, the central control module judges that the spray rinsing time length is adjusted according to the number of the medical instruments.
Further, after the cleaning basket is placed on the carrying platform by the grabbing device, the central control module controls the spray heads to spray the medical instruments in the cleaning basket, when the spray unit sprays the medical instruments, the spray angle of each spray head changes at a constant speed along with the angle adjusting device, and the spray time of the spray unit to the medical instruments is Tpz;
when the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instruments and the central control module judges that the spray rinsing time length is not adjusted according to the quantity of the medical instruments, Tpz is Tp;
when the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instruments and judges that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (J-Jp) x e ], wherein e is a parameter for adjusting the spray rinsing time length according to the quantity of the medical instruments;
when the central control module judges that the spray rinsing time length is adjusted according to the quality of the medical instruments and does not judge that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (G-Gp) x f ], wherein f is a parameter for adjusting the spray rinsing time length according to the quality of the medical instruments;
when the central control module determines that the spray rinsing time length is adjusted according to the quality of the medical instruments and the central control module determines that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (J-Jp) x e + (G-Gp) x f ].
Further, after the spray unit finishes the spray for the time length of Tpz, the camera device detects whether attachments exist on the surface of the medical appliance in the cleaning basket,
when the surface of the medical instrument has no attachments, the central control module judges that the spray washing of the medical instrument is finished;
when attachments exist on the surface of the medical instrument, the central control module controls each spray nozzle to perform compensation spray washing on the instrument, in the compensation spray washing process, the central control module controls the angle adjusting device to adjust the angle of the spray nozzle to perform key spray washing on the area containing the attachments, and the compensation spray washing time is Tb;
when no attachments exist on the surface of the medical appliance, the camera device detects whether the medical appliance flushed out of the cleaning basket in the spray washing process exists on the carrying platform, and when the medical appliance exists, the central control module controls the alarm device to give an alarm.
Further, the ultrasonic cleaning unit comprises,
the ultrasonic cleaning pool is used for containing ultrasonic cleaning liquid;
the vibration plate is connected with the ultrasonic cleaning pool and is used for driving the ultrasonic cleaning liquid in the ultrasonic cleaning pool to carry out ultrasonic vibration;
the biological enzyme storage tank is connected with the ultrasonic cleaning pool and used for storing biological enzyme;
the database is internally provided with an ultrasonic cleaning standard time Tc and a biological enzyme standard addition Hc, the central control module adjusts the ultrasonic cleaning time and the biological enzyme addition according to the total spray cleaning time Tzp of the spray cleaning unit,
when the spray unit did not perform compensation spray, Tzp ═ Tpz;
when the spray unit carries out compensation spray, Tzp is Tpz + Tb multiplied by n, and n is the compensation spray times;
the central control module adjusts the ultrasonic cleaning time length to Tcz, and Tcz is Tc + Tzp/Tp × a, wherein a is a parameter for adjusting the ultrasonic cleaning time length by the total spray cleaning time length of the spray cleaning unit;
the central control module adjusts the adding amount of the biological enzyme to Hcz, wherein the adding amount of the biological enzyme is Hcz ═ Hc + Tzp ÷ Tp × b, and b is a parameter for adjusting the adding amount of the biological enzyme by the total spraying time of the spraying unit;
when the central control module judges that the medical instrument is sprayed and washed, the central control module controls the grabbing device to grab the cleaning basket, after grabbing, the grabbing device moves along the hanging rail, the cleaning basket is placed in the ultrasonic cleaning pool, the central control module controls the biological enzyme storage tank to add Hcz biological enzyme into the ultrasonic cleaning pool and controls the vibration plate to start, and therefore ultrasonic cleaning is conducted on the medical instrument, and the ultrasonic cleaning duration is Tcz.
Further, the rinsing unit includes,
a rinsing table for placing the cleaning basket;
the rinsing nozzles are arranged on the side wall of the rinsing unit and used for removing ultrasonic cleaning liquid attached to the medical instrument, an angle adjusting device is arranged at the bottom of each rinsing nozzle, and the number of the rinsing nozzles is not less than 4;
a drain pipe for discharging the cleaning sewage;
after the medical equipment is cleaned by ultrasonic waves, the central control module controls the grabbing device to grab the cleaning basket, after grabbing is completed, the grabbing device moves along the hanging rail, the cleaning basket is placed on the rinsing table, the central control module controls the rinsing spray head to rinse the medical equipment in the cleaning basket, ultrasonic cleaning liquid attached to the surface of the medical equipment is removed, and the rinsing duration is Tq.
Further, the drying unit includes a drying unit,
the drying table is used for placing the cleaning basket, is of a honeycomb structure and facilitates air circulation;
an air inlet arranged at the top of the drying unit for introducing sterile air into the drying unit;
the heating device is arranged at the air inlet and used for heating introduced sterile air;
the air outlet is arranged at the bottom of the drying unit and used for exhausting air inside the drying unit;
the infrared detection device is arranged on the side wall of the drying unit and is used for detecting the medical instruments and judging whether the drying is finished or not;
the database is internally provided with standard drying and blowing time Tf;
after the medical equipment is rinsed, the central control module controls the gripping device to grip the cleaning basket, after the gripping is finished, the gripping device moves along the hanging rail, the cleaning basket is placed on the drying table, the central control module controls the air inlet to be started, sterile air is introduced to blow the medical equipment, meanwhile, the central control module controls the heating device to be started, the sterile air is heated, and the air inlet is long in blowing time Tf;
after the blowing time Tf, the central control module controls the air inlet to stop working, and when the working stop time of the air inlet reaches Tk, the infrared detection device collects infrared images of the medical instrument and judges whether drying is finished.
Further, when the stop working time of the air inlet reaches Tk, the infrared detection device collects infrared images of medical instruments and transmits the detection result to the central control module, the central control module analyzes the infrared images,
when the medical instrument in the infrared image has an irregular temperature mutation area, the central control module judges that the medical instrument is not dried;
when the medical instrument in the infrared image does not have an irregular temperature mutation area, the central control module judges that the medical instrument is dried;
when the central control module judges that the drying of the medical instrument is not finished, the central control module controls the air inlet and the heating device to be started to perform compensation drying on the medical instrument, and the compensation time length is Tfb.
Compared with the prior art, the medical equipment cleaning system has the advantages that the database is arranged, relevant data for cleaning medical equipment are arranged in the database, the cleaning equipment is connected with the Internet through the database, when the medical equipment is cleaned, medical staff can acquire a corresponding cleaning mode from the database only by inputting information such as operation types, patient signs, the number of the equipment and the like through the control panel, meanwhile, the central control module arranged at the equipment end can intelligently adjust the current cleaning state according to actual conditions in real time, the intelligence for cleaning the medical equipment is increased, the cleaning quality is guaranteed, furthermore, a plurality of cleaning links are integrated, the integration level of the cleaning equipment is increased, and the problem that the cleaning equipment occupies a large area is solved. The central control module can also butt joint the actual cleaning condition with database data, update the database information in real time, and further increase the intelligence of medical equipment cleaning.
Especially, when adopting before intelligent cleaning system washs medical instrument, put into the washing basket with the medical instrument that treats the washing in, select through control panel and treat the operation type Ai and the special sign Bj of patient that the washing apparatus participated in, well accuse module compares operation type Ai with operation type matrix A0 interior operation type, compares the special sign Bj of patient with the sign in the special sign matrix B0 of patient, judges whether medical instrument need boil the disinfection through database information, reduces the mistake probability that personnel selected to control, has increased cleaning personnel's safety protection, simultaneously, through comparing with database information for abluent efficiency.
Especially, confirm through operation type and patient sign and boil sterile duration, lay the basis for medical instrument's thorough disinfection, further reduce the error probability that personnel selected to control, increased washing personnel's safety protection, when the apparatus probably contains multiple infection source, set up and boil long compensation parameter, it is long when the disinfection is boiled in the intelligence extension, ensured the thorough disinfection of apparatus when having increased washing personnel's safety protection.
Further, grabbing device is right the in-process that washs the basket and snatch, tension sensor detects the quality G of the medical instrument who treats the spray-rinsing, and with the testing result transmit to well accuse module, well accuse module compares the quality G that detects with standard spray-rinsing quality Gp, after putting into the washing basket with the medical instrument who treats the washing, selects the washing quantity J of treating the washing instrument through control panel, well accuse module will input quantity J and standard spray-rinsing number Jp and contrast, according to medical instrument's quantity and quality intelligent regulation spray-rinsing duration, ensured thoroughly cleaing away the attachment, when guaranteeing the cleaning quality, accelerated cleaning efficiency.
Especially, when the apparatus quality of waiting to wash is big, the cleaning surface is great, and reasonable extension spray rinsing is long, has ensured the thorough clear away to the attachment, simultaneously, when the apparatus is in large quantity, the probability that has the attachment of gluing also increases thereupon, and reasonable extension spray rinsing is long, has ensured the thorough clear away to the attachment.
Furthermore, when attachments exist on the surface of the medical instrument, the central control module controls the spray heads to perform compensation spray washing on the instrument, in the compensation spray washing process, the central control module controls the angle adjusting device to adjust the angles of the spray heads, key spray washing is performed on the area containing the attachments, after the preset spray washing time is over, the instrument is detected, the positions where the attachments exist are subjected to compensation spray washing, thorough washing of the attachments is guaranteed, and the washing quality of the medical instrument is improved.
Furthermore, the database is internally provided with an ultrasonic cleaning standard time Tc and a biological enzyme standard addition Hc, the central control module adjusts the ultrasonic cleaning time and the biological enzyme addition according to the total spray cleaning time Tzp of the spray cleaning unit, the spray cleaning time is long, the number of cleaning surfaces is large, the number of attachments is large, the ultrasonic cleaning time and the biological enzyme addition are adjusted according to the spray cleaning time, the thorough removal of small attachments on medical instruments is guaranteed, and the cleaning quality of the medical instruments is improved.
Further, after the medical instrument is rinsed, the central control module controls the gripping device to grip the cleaning basket, after the gripping is finished, the gripping device moves along the hanging rail, the cleaning basket is placed on the drying table, the central control module controls the air inlet to be started, sterile air is introduced to blow the medical instrument, meanwhile, the central control module controls the heating device to be started to heat the sterile air, and the air inlet is blown for a period of time Tf; after the blowing time Tf, the central control module controls the air inlet to stop working, and when the working stop time of the air inlet reaches Tk, the infrared detection device collects infrared images of the medical instrument and judges whether drying is finished. After drying is completed, infrared detection is carried out on the medical instrument, when water drops exist on the medical instrument, the medical instrument is affected by evaporation, an irregular temperature mutation area can appear on an infrared imaging image, when the irregular temperature mutation area exists on the medical instrument in the infrared image, the central control module controls the air inlet and the heating device to be started, compensation drying is carried out on the medical instrument, the water drops are prevented from existing on the medical instrument, the risk that the medical instrument is infected with bacteria is reduced while the cleanable quality is guaranteed, and the cleaning quality of the medical instrument is improved.
Drawings
FIG. 1 is a schematic external structure diagram of a big data network-based intelligent cleaning system for medical instruments according to the present invention;
FIG. 2 is a schematic structural diagram of a big data network-based intelligent cleaning system for medical instruments according to the present invention;
FIG. 3 is a schematic view of the boiling unit of the present invention;
FIG. 4 is a schematic structural view of a spray washing unit according to the present invention;
FIG. 5 is a schematic structural view of an ultrasonic cleaning unit according to the present invention;
FIG. 6 is a schematic view of a rinsing unit according to the present invention;
fig. 7 is a schematic structural diagram of the drying unit according to the present invention.
Detailed Description
In order that the objects and advantages of the invention will be more clearly understood, the invention is further described below with reference to examples; it should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Preferred embodiments of the present invention are described below with reference to the accompanying drawings. It should be understood by those skilled in the art that these embodiments are only for explaining the technical principle of the present invention, and do not limit the scope of the present invention.
It should be noted that in the description of the present invention, the terms of direction or positional relationship indicated by the terms "upper", "lower", "left", "right", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, which are only for convenience of description, and do not indicate or imply that the device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
Furthermore, it should be noted that, in the description of the present invention, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
Referring to fig. 1 and fig. 2, fig. 1 is a schematic diagram illustrating an external structure of an intelligent cleaning system for medical devices based on a big data network according to the present invention, and fig. 2 is a schematic diagram illustrating a structure of the intelligent cleaning system for medical devices based on a big data network according to the present invention.
The invention provides a medical instrument intelligent cleaning system based on a big data network, which comprises,
the database (not shown in the figure) is arranged at the cloud end, and related data of medical instrument cleaning are arranged in the database;
the cleaning basket 1 is used for containing medical instruments to be cleaned, and lifting holes (not shown in the figure) are formed in the cleaning basket 1;
the hanging rail 2 is used for conveying medical instruments to be cleaned, a grabbing device 21 is arranged on the hanging rail 2, the grabbing device 21 can lift the cleaning basket 1 through grabbing lifting holes, and a tension sensor (not shown in the figure) is arranged on the grabbing device 21 and can detect the quality of the instruments to be cleaned;
the initial table 3 is used for placing the cleaning basket 1, a control panel 31 is arranged on one side of the initial table 3, a central control module (not shown in the figure) is arranged in the control panel 31, and the central control module is connected with the database;
a boiling unit 4 adjacent to the inception stage 3 for boiling and sterilizing medical instruments;
the spray washing unit 5 is connected with the boiling unit 4 and is used for spray washing the medical instrument to remove large blocks on the surface of the instrument and easily remove attachments;
the ultrasonic cleaning unit 6 is connected with the spray cleaning unit 5 and is used for carrying out ultrasonic cleaning on the medical instrument to remove the attachments which are difficult to remove on the surface of the instrument, and biological enzyme is added during the ultrasonic cleaning to carry out biological decomposition on the attachments which are difficult to remove;
the rinsing unit 7 is connected with the spray washing unit 5 and is used for spraying medical instruments and removing ultrasonic cleaning liquid attached to the surfaces of the instruments;
a drying unit 8 connected to the spray washing unit 5 for drying the rinsed medical instrument;
an alarm device (not shown in the figure) for alarming when abnormal conditions occur in the intelligent cleaning process;
before the intelligent cleaning system is used for cleaning the medical instruments, medical staff input the operation types, the characteristics of patients and the instrument cleaning quantity of the medical instruments through the control panel 31, and the central control module compares the operation types and the characteristics of the patients with the data published in the database and judges whether the medical instruments need to be boiled and disinfected;
when medical instruments need to be boiled and disinfected, the central control module determines the boiling and disinfecting time according to the type of operation and the characteristics of patients;
when the spray washing unit 5 is used for spray washing the medical instruments, the spray washing duration is adjusted according to the cleaning quantity and quality of the instruments, whether attachments are left on the surfaces of the medical instruments or not is detected after the primary spray washing is finished, and when the attachments are left, the spray washing unit 5 is used for compensation spray washing of the medical instruments;
after the spray washing is finished, the central control module adjusts the ultrasonic washing time length and the biological enzyme adding amount of the ultrasonic washing unit 6 according to the total spray washing time length of the spray washing unit 5.
Through setting up the database, make cleaning equipment link to each other with the internet, when carrying out medical instrument and washing, medical staff only need to input information such as operation type, patient's sign, apparatus quantity from the database acquisition corresponding washing mode through control panel 31, simultaneously, be provided with the central control module at the equipment end and can carry out intelligent adjustment to current cleaning state according to actual conditions in real time, increased medical equipment abluent intelligence, guaranteed the quality of washing, and further, the invention still integrates a plurality of washing links, has increased cleaning equipment's integrated level, has reduced the big problem of cleaning equipment area occupied. The central control module can also butt joint the actual cleaning condition with database data, update the database information in real time, and further increase the intelligence of medical equipment cleaning.
Referring to fig. 3, fig. 3 is a schematic view of the boiling unit according to the present invention.
In particular, the boiling unit 4 comprises,
a boiling tank 41 for boiling medical instruments to be boiled;
a heater 42 for heating and boiling the liquid in the boiling tank 41;
a surgery type matrix A0(A1, A2, A3 and A4) is arranged in the database, wherein A1 is a first preset surgery type, A2 is a second preset surgery type, A3 is a third preset surgery type, A4 is a fourth preset surgery type, the first preset surgery type A1 and the second preset surgery type A2 are operations with infection, and the third preset surgery type A3 and the fourth preset surgery type A4 are operations without infection;
in the embodiment, A1 is a radical tumor surgery, A2 is a tuberculosis focus clearing surgery, A3 is a joint replacement surgery, and A4 is a tonsillectomy surgery;
a patient special sign matrix B0(B1, B2, B3 and B4) is also arranged in the database, B1 is a first preset special sign, B2 is a second preset special sign, B3 is a third preset special sign, and B4 is a fourth preset special sign; the first predetermined special sign B1 and the second predetermined special sign B2 are infectious signs; the third pre-established special sign B3 and the fourth pre-established special sign B4 are non-infectious signs;
in this example, B1 is infectious liver disease, B2 is syphilis, B3 is hypertension, B4 is hyperlipidemia,
before the intelligent cleaning system is used for cleaning medical instruments, the medical instruments to be cleaned are placed in the cleaning basket 1, and the operation types Ai and the special patient signs Bj, i being 1,2, 3, 4, j being 1,2, 3, 4, in which the instruments to be cleaned participate are selected through the control panel 31;
the central control module compares the operation type Ai with the operation type in the operation type matrix A0, and when the operation type Ai is A1 or A2, the central control module judges that the surgical instrument needs to be boiled;
the central control module compares the special patient sign Bj with the sign in the special patient sign matrix B0, and when the special patient sign Bj is B1 or B2, the central control module judges that the surgical instrument needs to be boiled;
when the operation type Ai is A3 or A4 and the special signs of the patient do not comprise B1 or B2, the central control module judges that the surgical instrument does not need to be boiled;
when the surgical instrument to be cleaned needs to be boiled, the central control module determines the boiling time according to the type of the operation or the special physical signs of the patient.
Whether medical instrument need boil the disinfection through database information judgement, reduce the error probability that personnel selected to control, increased cleaning personnel's safety protection, simultaneously, through contrasting with database information for abluent efficiency.
Specifically, a boiling time matrix T0(T11, T12, T21, T22) is arranged in the database, wherein T11 is the boiling time corresponding to the first preset operation type a1, T12 is the boiling time corresponding to the second preset operation type a2, T21 is the boiling time corresponding to the first preset special sign B1, and T22 is the boiling time corresponding to the second preset special sign B2;
when the instrument to be cleaned is boiled only according to the pth preset operation type Ap, p is 1,2, and the central control module judges that the boiling time is T1 p;
when the instrument to be cleaned is boiled only due to the qth preset special sign Bq, q is 1,2, and the central control module judges that the boiling time is T2 q;
when the special signs of the patient simultaneously comprise a first preset special sign B1 and a second preset special sign B2 and the operation type is A3 or A4, the central control module compares T21 with T22 and selects the larger value of T21 and T22 as the boiling duration;
when the instrument to be cleaned is boiled under the combined action of the pth preset operation type Ap and the pth preset special physical sign Bq, the central control module judges that the boiling time is Tz, and the Tz is (T1p + T2q) x d, wherein d is a boiling time compensation parameter;
when the special physical signs of the patient simultaneously comprise B1 and B2 and the operation type is Ap, the central control module compares T21 with T22, and selects the large value of T21 and T22 as T2 q;
when the central control module determines the boiling time of the medical instrument, the central control module controls the gripping device 21 to grip the cleaning basket 1 containing the medical instrument to be cleaned, and after the gripping is completed, the gripping device 21 moves along the hanging rail 2 and the cleaning basket 1 is placed in the boiling tank 41.
In this embodiment, T11 is 15min, T12 is 20min, T21 is 22min, T22 is 20min, and d is 0.8.
Confirm through operation type and patient sign to boil sterile duration, lay the basis for medical instrument's thorough disinfection, further reduce the error probability that personnel selected to control, increased washing personnel's safety protection, when the apparatus probably contains multinomial infectious sources, set up and boil long compensation parameter, the intelligence extension is boiled when disinfecting, has ensured the thorough disinfection of apparatus when having increased washing personnel's safety protection.
Referring to fig. 4, fig. 4 is a schematic structural diagram of a spray cleaning unit according to the present invention. Specifically, the spray washing unit 5 includes,
a placing table 51 for placing the cleaning basket 1;
a water filter 52 disposed under the stage 51 for guiding the flow direction of the cleaning wastewater and the attachments on the instruments;
a drain pipe 53 for discharging the cleaning sewage and the attachments;
the camera device 54 is arranged at the top of the spray washing unit 5 and used for detecting whether attachments on the medical instruments are thoroughly washed or not and detecting whether the medical instruments are flushed out of the washing basket 1 or not in the spray washing process, the camera device 54 comprises two cameras, and when the attachments on the medical instruments are not thoroughly washed, the central control module can judge the positions of the attachments according to images collected by the two cameras;
the spray heads 55 are arranged on the side wall and the top of the spray washing unit 5, the spray heads 55 can spray water columns to spray medical instruments, angle adjusting devices 56 are arranged at the bottoms of the spray heads 55, the angle adjusting devices 56 can adjust the water spraying angles of the spray heads 55, and the number of the spray heads 55 is not less than 6;
when the medical instrument is boiled and disinfected or the central control module determines that the medical instrument does not need to be boiled and disinfected, the central control module controls the gripping device 21 to grip the cleaning basket 1, and after the gripping is finished, the gripping device 21 moves along the hanging rail 2 and places the cleaning basket 1 on the loading platform 51;
the database is internally provided with a standard spray rinsing time Tp, a standard spray rinsing quality Gp and a standard spray rinsing number Jp
In the process that the grabbing device 21 grabs the cleaning basket 1, the tension sensor detects the quality G of the medical instrument to be sprayed and transmits the detection result to the central control module, and the central control module compares the detected quality G with the standard spraying quality Gp:
when G is less than or equal to Gp, the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instrument;
when G is larger than Gp, the central control module judges that the spray rinsing time length is adjusted according to the quality of the medical instrument;
after the medical instruments to be cleaned are placed in the cleaning basket 1, the cleaning quantity J of the instruments to be cleaned is selected through the control panel 31, the input quantity J is compared with the standard spraying quantity Jp by the central control module,
when J is less than or equal to Jp, the central control module judges that the spray rinsing time length is not adjusted according to the number of the medical instruments;
and when J is more than Jp, the central control module judges that the spray rinsing time length is adjusted according to the number of the medical instruments.
In this embodiment, Tp is 30min, Gp is 1.5kg, and Jp is 15.
The length of time is long according to quantity and the quality intelligent regulation of medical instrument, has ensured the thorough clear away to the attachment, when guaranteeing cleaning quality, has accelerated cleaning efficiency.
Specifically, after the cleaning basket 1 is placed on the loading platform 51 by the gripping device 21, the central control module controls each spray head 55 to spray the medical instruments in the cleaning basket 1, when the spray unit 5 sprays the medical instruments, the spray angle of each spray head 55 changes at a constant speed along with the angle adjusting device 56, and the spray time of the spray unit 5 to the medical instruments is Tpz;
when the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instruments and the central control module judges that the spray rinsing time length is not adjusted according to the quantity of the medical instruments, Tpz is Tp;
when the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instruments and judges that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (J-Jp) x e ], wherein e is a parameter for adjusting the spray rinsing time length according to the quantity of the medical instruments;
when the central control module judges that the spray rinsing time length is adjusted according to the quality of the medical instruments and does not judge that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (G-Gp) x f ], wherein f is a parameter for adjusting the spray rinsing time length according to the quality of the medical instruments;
when the central control module determines that the spray rinsing time length is adjusted according to the quality of the medical instruments and the central control module determines that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (J-Jp) x e + (G-Gp) x f ].
In this example, e is 0.25 and f is 0.2/kg.
When treating that the cleaning apparatus quality is big, the cleaning surface is great, and reasonable extension spray rinsing is long, has ensured the thorough clear away to the attachment, and simultaneously, when the apparatus is in large quantity, the probability that is stained with the attachment also increases thereupon, and reasonable extension spray rinsing is long, has ensured the thorough clear away to the attachment.
Specifically, after the spray unit 5 finishes the spray for a time period of Tpz, the imaging device 54 detects whether or not there is any deposit on the surface of the medical instrument in the cleaning basket 1,
when the surface of the medical instrument has no attachments, the central control module judges that the spray washing of the medical instrument is finished;
when attachments exist on the surface of the medical instrument, the central control module controls the spray heads 55 to perform compensation spray washing on the instrument, in the compensation spray washing process, the central control module controls the angle adjusting device 56 to adjust the angles of the spray heads 55 to perform key spray washing on the area containing the attachments, and the compensation spray washing time is Tb;
when there is no attachment on the surface of the medical device, the imaging device 54 detects whether there is a medical device on the placement table 51 that is flushed out of the cleaning basket 1 during the spray-cleaning process, and if so, the central control module controls the alarm device to give an alarm.
In this embodiment, Tb is 5 min.
After the preset spray rinsing time is long, the instrument is detected, and the position where the attachments exist is compensated for spray rinsing, so that thorough cleaning of the attachments is guaranteed, and the cleaning quality of the medical instrument is improved.
Referring to fig. 5, fig. 5 is a schematic structural diagram of an ultrasonic cleaning unit according to the present invention. Specifically, the ultrasonic cleaning unit 6 includes,
an ultrasonic cleaning tank 61 for containing an ultrasonic cleaning liquid;
a vibration plate 62 connected to the ultrasonic cleaning tank 61 for driving the ultrasonic cleaning liquid in the ultrasonic cleaning tank 61 to vibrate ultrasonically;
a biological enzyme storage tank 63 connected to the ultrasonic cleaning tank 61 for storing biological enzymes;
the database is internally provided with an ultrasonic cleaning standard time Tc and a biological enzyme standard addition Hc, the central control module adjusts the ultrasonic cleaning time and the biological enzyme addition according to the total spray cleaning time Tzp of the spray cleaning unit 5,
when the spray unit 5 did not perform the compensation spray, Tzp ═ Tpz;
when the spray unit 5 carries out compensation spray, Tzp is Tpz + Tb multiplied by n, and n is the compensation spray times;
the central control module adjusts the ultrasonic cleaning time length to Tcz, and Tcz is Tc + Tzp/Tp × a, wherein a is a parameter for adjusting the ultrasonic cleaning time length by the total spray cleaning time length of the spray cleaning unit 5;
the central control module adjusts the adding amount of the biological enzyme to Hcz, wherein the adding amount of the biological enzyme is Hcz ═ Hc + Tzp ÷ Tp × b, and b is a parameter for adjusting the adding amount of the biological enzyme by the total spraying time of the spraying unit 5;
in this example, Tc is 30min, Hc is 15ml, a is 5min, and b is 1 ml.
The length is long during the spray rinsing, explains that the cleaning surface is many, and the attachment is many, adjusts length and biological enzyme addition according to length is long to ultrasonic cleaning according to the spray rinsing, has ensured the clearance thoroughly of the fritter attachment on medical instrument, promotes medical instrument's cleaning quality.
When the central control module determines that the medical instrument is completely sprayed, the central control module controls the gripping device 21 to grip the cleaning basket 1, after the gripping is completed, the gripping device 21 moves along the hanging rail 2, the cleaning basket 1 is placed in the ultrasonic cleaning pool 61, the central control module controls the biological enzyme storage tank 63 to add Hcz biological enzyme into the ultrasonic cleaning pool 61 and controls the vibration plate 62 to start so as to perform ultrasonic cleaning on the medical instrument, and the ultrasonic cleaning time is Tcz.
Referring to fig. 6, fig. 6 is a schematic view of a rinsing unit according to the present invention. Specifically, the rinsing unit 7 includes,
a rinsing station 71 for placing the cleaning basket 1;
the rinsing nozzles 72 are arranged on the side wall of the rinsing unit 7 and used for removing ultrasonic cleaning liquid attached to the medical instrument, the bottom of each rinsing nozzle 72 is provided with an angle adjusting device 56, and the number of the rinsing nozzles 72 is not less than 4;
a drain pipe 73 for discharging the washing sewage;
after the medical equipment is cleaned by ultrasonic waves, the central control module controls the grabbing device 21 to grab the cleaning basket 1, after grabbing is completed, the grabbing device 21 moves along the hanging rail 2, the cleaning basket 1 is placed on the rinsing table 71, the central control module controls the rinsing nozzle 72 to rinse the medical equipment in the cleaning basket 1, ultrasonic cleaning liquid attached to the surface of the medical equipment is removed, and the rinsing time is Tq.
In this embodiment, Tq is 15 min.
Referring to fig. 7, fig. 7 is a schematic structural diagram of the drying unit according to the present invention. Specifically, the drying unit 8 includes, for example,
the drying table 81 is used for placing the cleaning basket 1, and the drying table 81 is of a honeycomb structure and is convenient for air circulation;
an air inlet 82 provided at the top of the drying unit 8 to introduce sterile air into the drying unit 8;
a heating device 83 disposed at the air inlet 82 for heating the introduced sterile air;
an air outlet 84 disposed at the bottom of the drying unit 8 for exhausting air inside the drying unit 8;
an infrared detection device 85, which is arranged on the side wall of the drying unit 8 and is used for detecting and judging whether the drying of the medical apparatus is finished;
the database is internally provided with standard drying and blowing time Tf;
after the medical equipment is rinsed, the central control module controls the gripping device 21 to grip the cleaning basket 1, after the gripping is completed, the gripping device 21 moves along the hanging rail 2, the cleaning basket 1 is placed on the drying table 81, the central control module controls the air inlet 82 to be started, sterile air is introduced to blow the medical equipment, meanwhile, the central control module controls the heating device 83 to be started to heat the sterile air, and the air inlet 82 has the air blowing time Tf;
after the blowing time Tf, the central control module controls the air inlet 82 to stop working, and when the stop working time of the air inlet 82 reaches Tk, the infrared detection device 85 collects infrared images of the medical instrument and judges whether drying is finished.
In this embodiment, Tf is 15min and Tk is 1 min.
After drying, the medical instrument is subjected to infrared detection, when water drops exist on the medical instrument, the medical instrument is affected by evaporation, an irregular temperature mutation area can appear on an infrared imaging image, when the medical instrument in the infrared image has the irregular temperature mutation area, the central control module controls the air inlet 82 and the heating device 83 to be started, the medical instrument is subjected to compensation drying, the water drops are prevented from existing on the medical instrument, the cleaning quality is guaranteed, meanwhile, the risk that the medical instrument is infected with bacteria is reduced, and the cleaning quality of the medical instrument is improved.
Specifically, when the stop time of the air inlet 82 reaches Tk, the infrared detection device 85 collects infrared images of the medical apparatus and instruments, and transmits the detection result to the central control module, which analyzes the infrared images,
when the medical instrument in the infrared image has an irregular temperature mutation area, the central control module judges that the medical instrument is not dried;
when the medical instrument in the infrared image does not have an irregular temperature mutation area, the central control module judges that the medical instrument is dried;
when the central control module determines that the drying of the medical instrument is not completed, the central control module controls the air inlet 82 and the heating device 83 to be started, so that the medical instrument is compensated and dried, and the compensation time is Tfb.
In this embodiment, Tfb is 5 min.
So far, the technical solutions of the present invention have been described in connection with the preferred embodiments shown in the drawings, but it is easily understood by those skilled in the art that the scope of the present invention is obviously not limited to these specific embodiments. Equivalent changes or substitutions of related technical features can be made by those skilled in the art without departing from the principle of the invention, and the technical scheme after the changes or substitutions can fall into the protection scope of the invention.

Claims (10)

1. An intelligent cleaning system for medical instruments based on a big data network is characterized by comprising,
the database is arranged at the cloud end, and related data for cleaning medical instruments are arranged in the database;
the cleaning basket is used for containing medical instruments to be cleaned, and lifting holes are formed in the cleaning basket;
the hanging rail is used for conveying medical instruments to be cleaned, a grabbing device is arranged on the hanging rail and can lift the cleaning basket through grabbing lifting holes, and a tension sensor is arranged on the grabbing device and can detect the quality of the instruments to be cleaned in real time;
the cleaning device comprises an initial platform, a cleaning basket, a central control module and a database, wherein the initial platform is used for placing the cleaning basket, one side of the initial platform is provided with a control panel, and the control panel is internally provided with the central control module which is connected with the database;
a boiling unit adjacent to the initial stage for boiling and sterilizing the medical instrument;
the spray washing unit is connected with the boiling unit and is used for spray washing the medical instrument to remove large blocks on the surface of the instrument and easily remove attachments;
the ultrasonic cleaning unit is connected with the spray cleaning unit and is used for ultrasonically cleaning the medical instrument to remove the attachments which are difficult to remove on the surface of the instrument, and biological enzyme is added during ultrasonic cleaning to biologically decompose the attachments which are difficult to remove;
the rinsing unit is connected with the spray washing unit and is used for spray washing the medical instrument and removing the ultrasonic cleaning liquid attached to the surface of the instrument;
the drying unit is connected with the spray washing unit and is used for drying the rinsed medical apparatus;
the alarm device is used for alarming when an abnormal condition occurs in the intelligent cleaning process;
before the intelligent cleaning system is used for cleaning the medical instruments, the operation types, the characteristics of the patients and the instrument cleaning quantity of the medical instruments are input through the control panel, the operation types and the characteristics of the patients are compared with the data published in the database by the central control module, and whether the medical instruments need to be boiled and disinfected is judged;
when medical instruments need to be boiled and disinfected, the central control module determines the boiling and disinfecting time according to the type of operation and the characteristics of patients;
when the spray washing unit is used for spray washing the medical instruments, the spray washing duration is adjusted according to the cleaning quantity and quality of the instruments, whether attachments remain on the surfaces of the medical instruments or not is detected after the primary spray washing is finished, and when the attachments exist, the spray washing unit is used for performing compensation spray washing on the medical instruments;
after the spray washing is finished, the central control module adjusts the ultrasonic washing time length and the biological enzyme adding amount of the ultrasonic washing unit according to the total spray washing time length of the spray washing unit.
2. The big data network based intelligent cleaning system for medical instruments according to claim 1, wherein the boiling unit comprises,
the boiling pool is used for boiling medical instruments needing to be boiled;
the heater is used for heating and boiling the liquid in the boiling tank;
a surgery type matrix A0(A1, A2, A3 and A4) is arranged in the database, wherein A1 is a first preset surgery type, A2 is a second preset surgery type, A3 is a third preset surgery type, A4 is a fourth preset surgery type, the first preset surgery type A1 and the second preset surgery type A2 are operations with infection, and the third preset surgery type A3 and the fourth preset surgery type A4 are operations without infection;
a patient special sign matrix B0(B1, B2, B3 and B4) is further arranged in the database, wherein B1 is a first preset special sign, B2 is a second preset special sign, B3 is a third preset special sign, and B4 is a fourth preset special sign; the first predetermined special sign B1 and the second predetermined special sign B2 are infectious signs; the third pre-established special sign B3 and the fourth pre-established special sign B4 are non-infectious signs;
before the intelligent cleaning system is used for cleaning medical instruments, the medical instruments to be cleaned are placed in a cleaning basket, and the operation types Ai and the special patient signs Bj of the instruments to be cleaned are selected through a control panel, wherein i is 1,2, 3, 4, and j is 1,2, 3, 4;
the central control module compares the operation type Ai with the operation type in the operation type matrix A0, and when the operation type Ai is A1 or A2, the central control module judges that the surgical instrument needs to be boiled;
the central control module compares the special patient sign Bj with the sign in the special patient sign matrix B0, and when the special patient sign Bj is B1 or B2, the central control module judges that the surgical instrument needs to be boiled;
when the operation type Ai is A3 or A4 and the special signs of the patient do not comprise B1 or B2, the central control module judges that the surgical instrument does not need to be boiled;
when the surgical instrument to be cleaned needs to be boiled, the central control module determines the boiling time according to the type of the operation or the special physical signs of the patient.
3. The intelligent cleaning system for medical instruments based on the big data network as claimed in claim 2, wherein a boiling duration matrix T0(T11, T12, T21, T22) is provided in the database, wherein T11 is a boiling duration corresponding to a first preset operation type a1, T12 is a boiling duration corresponding to a second preset operation type a2, T21 is a boiling duration corresponding to a first preset special sign B1, and T22 is a boiling duration corresponding to a second preset special sign B2;
when the instrument to be cleaned is boiled only according to the pth preset operation type Ap, p is 1,2, and the central control module judges that the boiling time is T1 p;
when the instrument to be cleaned is boiled only due to the qth preset special sign Bq, q is 1,2, and the central control module judges that the boiling time is T2 q;
when the special signs of the patient simultaneously comprise a first preset special sign B1 and a second preset special sign B2 and the operation type is A3 or A4, the central control module compares T21 with T22 and selects the larger value of T21 and T22 as the boiling duration;
when the instrument to be cleaned is boiled under the combined action of the pth preset operation type Ap and the pth preset special physical sign Bq, the central control module judges that the boiling time is Tz, and the Tz is (T1p + T2q) x d, wherein d is a boiling time compensation parameter;
when the special physical signs of the patient simultaneously comprise B1 and B2 and the operation type is Ap, the central control module compares T21 with T22, and selects the large value of T21 and T22 as T2 q;
when the central control module determines the boiling time of the medical instrument, the central control module controls the gripping device to grip a cleaning basket containing the medical instrument to be cleaned, and after the gripping is completed, the gripping device moves along the hanging rail and the cleaning basket is placed in the boiling pool.
4. The big data network based intelligent cleaning system for medical instruments according to claim 1, wherein the spray washing unit comprises,
a loading platform for placing the cleaning basket;
the water filtering net is arranged below the carrying platform and used for guiding the flow direction of the cleaning sewage and the attachments on the instruments;
a blow-off pipe for discharging the cleaning sewage and attachments;
the camera device is arranged at the top of the spray washing unit and used for detecting whether attachments on the medical equipment are thoroughly washed and detecting whether the medical equipment are flushed out of the washing basket in the spray washing process, the camera device comprises two cameras, and when the condition that the attachments on the medical equipment are not thoroughly washed is detected, the central control module can judge the positions of the attachments according to images collected by the two cameras;
the spray heads are arranged on the side wall and the top of the spray washing unit, the spray heads can spray water columns to spray medical instruments, angle adjusting devices are arranged at the bottoms of the spray heads and can adjust the water spraying angles of the spray heads, and the number of the spray heads is not less than 6;
when the medical instrument is boiled and disinfected or the central control module judges that the medical instrument does not need to be boiled and disinfected, the central control module controls the grabbing device to grab the cleaning basket, and after grabbing is completed, the grabbing device moves along the hanging rail and places the cleaning basket on the loading platform;
the database is internally provided with a standard spray rinsing time Tp, a standard spray rinsing quality Gp and a standard spray rinsing number Jp
In the process that the grabbing device grabs the cleaning basket, the tension sensor detects the quality G of the medical instrument to be sprayed and washed, and transmits a detection result to the central control module, and the central control module compares the detected quality G with the standard spraying quality Gp:
when G is less than or equal to Gp, the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instrument;
when G is larger than Gp, the central control module judges that the spray rinsing time length is adjusted according to the quality of the medical instrument;
after the medical instruments to be cleaned are placed in the cleaning basket, the cleaning quantity J of the instruments to be cleaned is selected through the control panel, the input quantity J is compared with the number Jp of standard spray-cleaning pieces by the central control module,
when J is less than or equal to Jp, the central control module judges that the spray rinsing time length is not adjusted according to the number of the medical instruments;
and when J is more than Jp, the central control module judges that the spray rinsing time length is adjusted according to the number of the medical instruments.
5. The intelligent cleaning system for medical instruments based on the big data network as claimed in claim 4, wherein after the cleaning basket is placed on the loading platform by the grabbing device, the central control module controls each spray nozzle to spray the medical instruments in the cleaning basket, when the spray unit sprays the medical instruments, the spray angle of each spray nozzle changes at a constant speed with the angle adjusting device, and the spray time of the spray unit to the medical instruments is Tpz;
when the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instruments and the central control module judges that the spray rinsing time length is not adjusted according to the quantity of the medical instruments, Tpz is Tp;
when the central control module judges that the spray rinsing time length is not adjusted according to the quality of the medical instruments and judges that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (J-Jp) x e ], wherein e is a parameter for adjusting the spray rinsing time length according to the quantity of the medical instruments;
when the central control module judges that the spray rinsing time length is adjusted according to the quality of the medical instruments and does not judge that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (G-Gp) x f ], wherein f is a parameter for adjusting the spray rinsing time length according to the quality of the medical instruments;
when the central control module determines that the spray rinsing time length is adjusted according to the quality of the medical instruments and the central control module determines that the spray rinsing time length is adjusted according to the quantity of the medical instruments, Tpz is Tp x [1+ (J-Jp) x e + (G-Gp) x f ].
6. The intelligent cleaning system for medical instruments based on big data network as claimed in claim 5, wherein after the spray unit finishes the spray for a duration of Tpz, the camera device detects whether there is any attachment on the surface of the medical instrument in the cleaning basket,
when the surface of the medical instrument has no attachments, the central control module judges that the spray washing of the medical instrument is finished;
when attachments exist on the surface of the medical instrument, the central control module controls each spray nozzle to perform compensation spray washing on the instrument, in the compensation spray washing process, the central control module controls the angle adjusting device to adjust the angle of the spray nozzle to perform key spray washing on the area containing the attachments, and the compensation spray washing time is Tb;
when no attachments exist on the surface of the medical appliance, the camera device detects whether the medical appliance flushed out of the cleaning basket in the spray washing process exists on the carrying platform, and when the medical appliance exists, the central control module controls the alarm device to give an alarm.
7. The big data network based intelligent cleaning system for medical instruments according to claim 6, wherein the ultrasonic cleaning unit comprises,
the ultrasonic cleaning pool is used for containing ultrasonic cleaning liquid;
the vibration plate is connected with the ultrasonic cleaning pool and is used for driving the ultrasonic cleaning liquid in the ultrasonic cleaning pool to carry out ultrasonic vibration;
the biological enzyme storage tank is connected with the ultrasonic cleaning pool and used for storing biological enzyme;
the database is internally provided with an ultrasonic cleaning standard time Tc and a biological enzyme standard addition Hc, the central control module adjusts the ultrasonic cleaning time and the biological enzyme addition according to the total spray cleaning time Tzp of the spray cleaning unit,
when the spray unit did not perform compensation spray, Tzp ═ Tpz;
when the spray unit carries out compensation spray, Tzp is Tpz + Tb multiplied by n, and n is the compensation spray times;
the central control module adjusts the ultrasonic cleaning time length to Tcz, and Tcz is Tc + Tzp/Tp × a, wherein a is a parameter for adjusting the ultrasonic cleaning time length by the total spray cleaning time length of the spray cleaning unit;
the central control module adjusts the adding amount of the biological enzyme to Hcz, wherein the adding amount of the biological enzyme is Hcz ═ Hc + Tzp ÷ Tp × b, and b is a parameter for adjusting the adding amount of the biological enzyme by the total spraying time of the spraying unit;
when the central control module judges that the medical instrument is sprayed and washed, the central control module controls the grabbing device to grab the cleaning basket, after grabbing, the grabbing device moves along the hanging rail, the cleaning basket is placed in the ultrasonic cleaning pool, the central control module controls the biological enzyme storage tank to add Hcz biological enzyme into the ultrasonic cleaning pool and controls the vibration plate to start, and therefore ultrasonic cleaning is conducted on the medical instrument, and the ultrasonic cleaning duration is Tcz.
8. The intelligent cleaning system for medical instruments based on big data network as claimed in claim 7, wherein the rinsing unit comprises,
a rinsing table for placing the cleaning basket;
the rinsing nozzles are arranged on the side wall of the rinsing unit and used for removing ultrasonic cleaning liquid attached to the medical instrument, an angle adjusting device is arranged at the bottom of each rinsing nozzle, and the number of the rinsing nozzles is not less than 4;
a drain pipe for discharging the cleaning sewage;
after the medical equipment is cleaned by ultrasonic waves, the central control module controls the grabbing device to grab the cleaning basket, after grabbing is completed, the grabbing device moves along the hanging rail, the cleaning basket is placed on the rinsing table, the central control module controls the rinsing spray head to rinse the medical equipment in the cleaning basket, ultrasonic cleaning liquid attached to the surface of the medical equipment is removed, and the rinsing duration is Tq.
9. The intelligent cleaning system for medical instruments based on big data network as claimed in claim 8, wherein the drying unit comprises,
the drying table is used for placing the cleaning basket, is of a honeycomb structure and facilitates air circulation;
an air inlet arranged at the top of the drying unit for introducing sterile air into the drying unit;
the heating device is arranged at the air inlet and used for heating introduced sterile air;
the air outlet is arranged at the bottom of the drying unit and used for exhausting air inside the drying unit;
the infrared detection device is arranged on the side wall of the drying unit and is used for detecting the medical instruments and judging whether the drying is finished or not;
the database is internally provided with standard drying and blowing time Tf;
after the medical equipment is rinsed, the central control module controls the gripping device to grip the cleaning basket, after the gripping is finished, the gripping device moves along the hanging rail, the cleaning basket is placed on the drying table, the central control module controls the air inlet to be started, sterile air is introduced to blow the medical equipment, meanwhile, the central control module controls the heating device to be started, the sterile air is heated, and the air inlet is long in blowing time Tf;
after the blowing time Tf, the central control module controls the air inlet to stop working, and when the working stop time of the air inlet reaches Tk, the infrared detection device collects infrared images of the medical instrument and judges whether drying is finished.
10. The intelligent cleaning system for medical instruments based on the big data network as claimed in claim 9, wherein when the stop time of the air inlet reaches Tk, the infrared detection device collects infrared images of the medical instruments and transmits the detection result to the central control module, the central control module analyzes the infrared images,
when the medical instrument in the infrared image has an irregular temperature mutation area, the central control module judges that the medical instrument is not dried;
when the medical instrument in the infrared image does not have an irregular temperature mutation area, the central control module judges that the medical instrument is dried;
when the central control module judges that the drying of the medical instrument is not finished, the central control module controls the air inlet and the heating device to be started to perform compensation drying on the medical instrument, and the compensation time length is Tfb.
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