JP2005121558A - Automatic preparation system for blood collecting tube, automatic analyzer, and automatic examination system provided with same - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an automatic examination system used on line and off line when required, and capable of executing an analysis surely without being affected by a trouble of a host computer or the like after preparation is finished in an automatic blood collecting tube preparing system, and provide the automatic blood collecting tube preparing system usable in the automatic examination system, and an automatic analyzer. <P>SOLUTION: This automatic blood collecting tube preparing system has order information from a medical doctor including information about patient attribute information and analytical items, blood collection information determined on the basis of the order information and a specimen ID, takes out a blood collecting tube required for blood collection for a patient from a plurality of blood collecting tube storage parts on the basis of the blood collection information, writes at least the specimen ID and information about the analytical items in a radio tag of a label with the radio tag, bonds the label with the radio tag after written onto the taken-out blood tube, and stores the blood tube after the label is bonded, the patient by the patient, in a storage part of a tray or the like, on the basis of the order information. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  According to the present invention, a blood collection tube automatic preparation system that automatically prepares a blood collection tube necessary for examination of a patient based on an order from a doctor, and an analysis using the blood collection tube prepared by the automatic blood collection tube preparation system And an automatic inspection system including the automatic blood collection tube preparation system and the automatic analyzer.

Conventionally, based on order information from a doctor including examination items, patient attributes, and order numbers, blood collection information and sample ID related to the type and number of blood collection tubes according to the examination items are determined by a host computer, and the blood collection information , Specimen ID, examination item, patient attribute and order number are input from the host computer, the blood collection tube necessary for blood collection of the patient is automatically selected based on the blood collection information, taken out, and the patient corresponding to the removed blood collection tube The patient attribute information is written in characters and the sample ID is printed on a label with a barcode, the printed label is affixed to the blood collection tube, and the blood collection tube after the label is affixed to each patient's tray or bag (by order number) There has been proposed an automatic blood collection tube preparation system configured to be accommodated in a device (see Patent Document 1).
By using the above-described automatic blood collection tube preparation system, problems such as selection errors of blood collection tubes before blood collection and mistaking of patients to be blood collection are solved, and a safe and reliable blood collection environment can be obtained.

Japanese Patent No. 3070522

In the above-described automatic blood collection tube preparation system, patient attribute information is printed on characters and the sample ID is printed on a label with a barcode, and is attached to each blood collection tube.
Then, the labeled blood collection tube is transported to the automatic analyzer after blood collection. The automatic analyzer reads the sample ID from the label of the blood collection tube, and uses the sample ID to read the sample (in the blood collection tube). The analysis items (test items) for blood) are inquired, and the analysis is performed based on the information on the analysis items obtained from the host computer.
However, the above-described conventional method has a problem that analysis cannot be performed unless the automatic analyzer is connected to the host computer online.
For this reason, first, there is a problem that the above-described system cannot be used unless a large-scale bidirectional communication environment in which both the automatic blood collection tube preparation system and the automatic analyzer are connected to the host computer is constructed. .
Second, if the host computer breaks down for some reason, there is a problem that analysis cannot be performed until the host computer is restored. In particular, this problem becomes a serious problem when urgentness is required for inspection.
Further, in the above-described system, the sample ID is read from the barcode printed on the label of the blood collection tube, and the analysis item is referred based on the sample ID. Therefore, a data error occurs when the analysis item is inquired with the host computer. There is also a problem that does not always occur.
The present invention solves the above-mentioned conventional problems, and can be used online or off-run as necessary. After the preparation is completed by the automatic blood collection tube preparation system, the influence of the failure of the host computer, etc. It is an object of the present invention to provide an automatic inspection system that can reliably perform analysis without receiving, an automatic blood collection tube preparation system and an automatic analyzer that can be used in the automatic inspection system.

In order to achieve the above-described object, an automatic blood collection tube preparation system according to the present invention includes order information from a doctor including patient attribute information and information on analysis items, and blood collection information and a specimen determined based on the order information. Based on the blood collection information, a blood collection tube necessary for blood collection of the patient is taken out from a plurality of blood collection units, and at least information on the sample ID and the analysis item is written in the wireless tag of the label with the wireless tag The label with the wireless tag after writing is affixed to the taken-out blood collection tube, and the blood collection tube after labeling is configured to be accommodated in an accommodation unit such as a tray for each patient based on the order information. It is characterized by.
In addition, the automatic analyzer according to the present invention is provided with a sample ID determined based on order information from a doctor including patient attribute information and information on analysis items, and a label with a wireless tag on which information on the analysis items is stored. The sample ID and the analysis item are read from the attached blood collection tube after blood collection, the analysis is automatically performed based on the read analysis item, and the analysis result is stored in association with the sample ID. And
Furthermore, the automatic inspection system according to the present invention is:
Order information from a doctor including patient attribute information and information on analysis items, blood collection information and specimen ID determined based on the order information, and based on the blood collection information, from a plurality of blood collection container storage units Taking out the blood collection tube necessary for blood collection of the patient, writing at least information on the specimen ID and the analysis item into the wireless tag of the wireless tag-labeled label, and pasting the written wireless tag-attached label on the taken-out blood collection tube, A blood collection tube automatic preparation system configured to store the blood collection tube after labeling in a storage unit such as a tray for each patient based on the order information;
Specimen ID from blood collection tube after blood collection to which sample ID determined based on order information from doctor including patient attribute information and information on analysis item and label with wireless tag storing information on analysis item is attached And reading analysis items,
And an automatic analyzer configured to automatically perform analysis based on the read analysis item and store the analysis result in association with the sample ID.

The automatic blood collection tube preparation system according to the present invention attaches a label with a wireless tag that stores a specimen ID determined based on order information from a doctor and information on an analysis item to a blood collection tube necessary for a patient's examination. Therefore, the analysis can be performed even if the automatic analyzer after blood collection is not connected to the host computer online. In addition, if there is a personal computer equipped with a reading device that can read the information of the wireless tag, the analysis items can be confirmed with the personal computer, so that an inspection engineer can perform analysis manually. Become. This also brings about an effect that an inspection system can be constructed at a low price without constructing a large-scale bidirectional communication environment.
The automatic analyzer according to the present invention has a sample ID determined based on order information from a doctor including patient attribute information and information on analysis items, and a label with a wireless tag in which information on the analysis items is stored. Since the specimen ID and the analysis item are read from the blood collection tube after blood collection, it is possible to perform the analysis even if it is not connected to the host computer. Thereby, this also brings about an effect that an inspection system can be constructed at a low price without constructing a large-scale bidirectional communication environment. In an environment where the analyzer is connected to the host computer, the host computer is used to inquire about analysis items using the sample ID read from the blood collection tube, and the analyzed analysis item is compared with the analysis item read from the blood collection tube. In addition, more reliable and safe inspection can be performed.
The automatic inspection system according to the present invention prepares a blood collection tube automatically by attaching a label with a wireless tag storing a specimen ID determined based on order information from a doctor and information on an analysis item to the blood collection tube. Since the system and the automatic analyzer for reading the specimen ID determined based on the order information from the doctor including the patient attribute information and the information on the analysis item and the information on the analysis item, the automatic analyzer There is an effect that it can be used off-line, and thereby an effect that an inspection system can be constructed at a low price. Also, in an environment where these are connected to a host computer, for example, analysis items can be collated in an automatic analyzer, and when the network environment is abnormal such as a failure of the host computer, it is immediately switched to offline to continue the analysis. There are effects such as being possible.

  DESCRIPTION OF THE PREFERRED EMBODIMENTS Embodiments of an automatic blood collection tube preparation system, an automatic analyzer, and an automatic inspection system including these will be described below with reference to an embodiment shown in the accompanying drawings.

FIG. 1 shows a schematic block diagram of an automatic inspection system according to the present invention.
As shown in the drawing, this automatic inspection system includes an automatic blood collection tube preparation system A and an automatic analyzer B.

The blood collection automatic preparation system A includes a blood collection preparation device 1 and a blood collection device 10.
FIG. 2 is a schematic XX cross-sectional view of the blood collection tube preparation device 1 in FIG.
The blood collection tube preparation device 1 takes out a plurality of blood collection tube storage portions 2a to 2d each storing the same type of blood collection tubes a1 to a4, and selectively takes out the blood collection tubes from these blood collection tube storage portions and labels the taken blood collection tubes Take-out transfer means 3 for transferring to the affixing position;
Inspection information writing means 4 for writing information relating to inspection in the form of characters and electronic information on a label with a wireless tag;
Label attaching means 5 for attaching the label to the test tube;
And a discharge conveyor 6 for discharging the blood collection tube a after labeling.
Each means described above is controlled by the control device 7.
The control device 7 has blood collection information and specimen ID determined according to the examination item, in addition to the order number, examination item, and patient attribute information included in the order information from the doctor. These pieces of information may all be input from a host computer or other host computer (not shown). However, the order information from the doctor is directly input to the control device 7 via a keyboard or the like, and the input order information is converted into the input order information. Based on this, the control device 7 may determine the blood collection information and the sample ID.
Here, “patient attribute information” is patient-specific information such as patient name, patient ID, and / or gender.
“Blood collection information” is information regarding the type and number of blood collection tubes determined according to the examination item. Since the vacuum blood collection tube contains a reactive agent or the like according to the purpose of the inspection in advance, it is necessary to use a blood collection tube according to the inspection item. However, it is not always necessary to use a different blood collection tube for each examination item, and some blood collection tubes can be used in common for a plurality of examination items. For this reason, the type and number of blood collection tubes must be determined according to the examination item.
The “sample ID” is a number issued for each blood collection tube, and is associated with the information related to the test item for the blood (sample) collected in the blood collection tube and the order number.
Based on the blood collection information, the control device 7
Controlling the take-out / transfer means 3 so as to take out the blood collection tube a necessary for blood collection of the patient from the blood collection tube storage portions 2a to 2d containing the necessary blood collection tube and transfer it to the labeling position;
at the same time,
On the wireless tag label b, the patient attribute information of the patient (patient name and patient ID number, etc.) is printed in characters,
Controlling the examination information writing means 4 so as to write the information on the specimen ID and analysis item (examination item) corresponding to the blood collection tube to be pasted, the order number and the patient attribute information to the wireless tag;
Further, the label affixing means 5 is controlled to affix the label b processed by the examination information writing means 4 to the blood collection tube a transferred to the label affixing position,
The discharge conveyor 6 is controlled so that the blood collection tube a after labeling is accommodated in the tray T of the blood collection tube storage device 10 for each patient.
The blood collection tube storage device 10 has a plurality of empty trays, and receives the blood collection tube a after labeling discharged from the discharge conveyor 6 of the blood collection tube preparation device 1 on the tray T. Then, every time the blood collection tube a for one patient is accommodated in one tray T, the tray that receives the blood collection tube a after labeling is replaced with an empty tray.

One or a plurality of blood collection tubes a prepared by the above-described automatic blood collection tube preparation system A are carried to a blood collection work table C in a state of being put in a tray, and are used for blood collection there.
The blood collection tube a after blood collection is placed in the rack R and carried to the automatic analyzer B.
The transfer of the blood collection tube from the blood collection automatic preparation system A to the blood collection work table C and the transfer of the blood collection tube from the blood collection work table C to the automatic analyzer B may be carried out by a human hand. You may use the automatic conveyance system which has a means.

The automatic analyzer B includes a reading unit 20, a control unit 21, an analyzing unit 23, and a storage unit 24. When the collected blood collection tube a is carried in the rack R, it is attached to each blood collection tube a. The reading means 20 reads the sample ID, the analysis item, the order number, and the patient attribute information from the attached wireless tag of the label b with the wireless tag.
The control device 21 causes the analysis unit 22 to analyze the blood collected in the blood collection tube a based on the analysis item read by the reading unit 20, and associates the analysis result with the sample ID in the storage unit 22. Remember.
When all the analyzes for one patient are completed, the control device 21 totals the analysis results for all the specimen IDs based on the order number, and creates test result information based on the data and patient attribute information.
This inspection result information can be output via a printer, a monitor, an appropriate data carrier, or the like.

  In the above-described embodiment, the order number and the patient attribute information are written in the wireless tag in addition to the sample ID and the analysis item, so that only the automatic analyzer B can perform the analysis to the creation of the test result information. However, this is not limited to the present embodiment. For example, only the sample ID and the analysis item are written in the wireless tag, and the automatic analyzer B stores the analysis result associated with the sample ID. The processing up to this point may be performed, and the collection of analysis results and creation of inspection result information may be performed by another device (for example, a host computer).

Next, a second embodiment of the automatic inspection system according to the present invention will be described.
This automatic inspection system includes a blood collection tube automatic preparation system A and an automatic analyzer B.
Since the configurations of the automatic blood collection tube preparation system A and the automatic analyzer B are basically the same as those of the first embodiment described above, the same constituent members are denoted by the same reference numerals as those of the first embodiment and duplicated. The description to be omitted is omitted.

The control devices 7 and 21 of the automatic blood collection tube preparation system A and the automatic analyzer B are connected to a host computer H, respectively.
In this embodiment, order information from a doctor is sent to the host computer H, blood collection information and sample ID are determined by the host computer H, and information regarding these examinations is sent to the blood collection automatic preparation system A.
The examination information writing means in the automatic blood collection tube preparation system A writes the sample ID and the analysis item in the wireless tag.
A blood collection tube a prepared by the automatic blood collection tube preparation system A and subjected to blood collection is placed in a rack R and sent to an automatic analyzer B.
The automatic analyzer B includes a reading unit 20, a control unit 21, an analyzing unit 22, and a storage unit 23.
The control means 21 has a collation means 21a.
Based on the sample ID read from the wireless tag of the blood collection tube a by the reading unit 20, the control unit 21 inquires the host computer H about information relating to the analysis item corresponding to the sample ID. The information on the analysis item obtained from the host computer H and the information on the analysis item read by the reading unit 20 from the wireless tag of the blood collection tube a are collated. The analysis is performed according to the analysis item after the verification.
The automatic analyzer B can be configured to be able to be switched off-line in an emergency such as a failure of the host computer H or a network malfunction. In the off-line, there is no verification according to the information on the analysis item read by the reading means 20. It can be configured to be able to perform an analysis.
The control device 21 stores the analysis result performed by the analysis unit 22 in the storage unit 23 in association with the sample ID.
Aggregation of all analysis results and creation of test result information including patient attribute information are performed by the automatic analyzer B receiving order information and patient attribute information from the host computer H based on the specimen ID. However, the information related to the analysis result may be sent from the automatic analyzer B to the host computer H and may be executed by the host computer H.

Finally, an embodiment of an inspection method using the automatic blood collection tube preparation system according to the present invention will be described.
FIG. 4 shows a schematic diagram of an inspection method using the automatic blood collection tube preparation system according to the present invention.
Since the configuration of the automatic blood collection tube preparation system A is the same as that of the first and second embodiments, the same reference numerals as those of the first and second embodiments are attached and detailed description thereof is omitted.
In this embodiment, the examination information writing means in the automatic blood collection tube preparation system A writes information on the specimen ID and analysis item (examination item), the order number, and patient attribute information in the wireless tag.
The blood collection tube a prepared by the automatic blood collection tube preparation system A and subjected to blood collection is placed in the rack R and carried to the analysis operator C.
The analysis operator C has a reader D that can read information of the wireless tag and display means E (for example, a personal computer) that can display the contents of the information read by the reader D, and has been carried. The specimen ID, analysis item (examination item), order number, and patient attribute information are read from the blood collection tube a by the reading device D, the contents are displayed on the display means E, and the analysis is performed according to the displayed contents.
The analysis result may be recorded by hand, but may be input in association with the sample ID when the display means E is a personal computer.

It is a schematic block diagram of an automatic inspection system. FIG. 2 is a schematic XX sectional view of the blood collection tube preparation device 1 in FIG. 1. It is a schematic block diagram of the 2nd Example of an automatic inspection system. It is the schematic of the test | inspection method using the blood-collecting-tube automatic preparation system which concerns on this invention.

Explanation of symbols

a Blood collection b b Radio-labeled label T Tray R Rack A Automatic blood collection tube preparation system 1 Blood collection tube automatic preparation device 2 Blood collection tube storage 3 Extraction and transfer means 4 Examination information writing means 5 Label sticking means 6 Discharge conveyor 7 Control means 10 Blood collection tube storage device B Automatic analyzer 20 Reading means 21 Control means (21a collating means)
22 Analyzing means 23 Storage means

C Blood collection work table D Reading means E Display means

H Host computer

Claims (3)

Order information from a doctor including information on patient attribute information and analysis items, blood collection information and specimen ID determined based on the order information,
Based on the blood collection information, taking out blood collection tubes necessary for blood collection of the patient from a plurality of blood collection containers,
Write at least information about the sample ID and analysis items to the wireless tag of the wireless tag label,
Affix the label with the RFID tag after writing to the taken-out blood collection tube,
An automatic blood collection tube preparation system configured to store the blood collection tube after labeling in a storage unit such as a tray for each patient based on the order information. Specimen from blood collection tube after blood collection to which a label with a wireless tag storing a sample ID determined based on order information from a doctor including patient attribute information and information on analysis item and information on the analysis item is attached Read ID and analysis items,
An automatic analyzer configured to automatically perform analysis based on the read analysis item and store the analysis result in association with the sample ID. Order information from a doctor including information on patient attribute information and analysis items, blood collection information and specimen ID determined based on the order information,
Based on the blood collection information, taking out blood collection tubes necessary for blood collection of the patient from a plurality of blood collection containers,
Write at least information about the sample ID and analysis items to the wireless tag of the wireless tag label,
Affix the label with the RFID tag after writing to the taken-out blood collection tube,
A blood collection tube automatic preparation system configured to accommodate the labeled blood collection tube in a storage unit such as a tray for each patient based on the order information;
Read the sample ID and the analysis item from the blood collection tube after blood collection to which a label with a wireless tag storing at least information about the sample ID and the analysis item is attached,
An automatic inspection system comprising: an automatic analyzer configured to automatically perform analysis based on the read analysis item and store the analysis result in association with the sample ID.

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