JP2005309702A - Medical equipment management system and medical equipment management method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a technique capable of reducing the management and procurement man-hour and cost on a hospital side for both trade-object equipment and lease equipment. <P>SOLUTION: A first device 20 supporting providing of medical equipment to a medical institute specifies information for mixing trade-object equipment and lease equipment which are medical equipment used for medical actions in a hospital and making them into a medical action-based kit. A second device 30 for managing the use of medical equipment on the medical institute side records, in case that medical equipment contained in the kit was actually used in medical actions, the fact of the use in association with the used medical equipment about that use. A third device 40 for managing the reuse processing of medical equipment used in the medical institute records the progress of a process for washing and resterilizing the lease equipment of the used medical equipment. The first device 20 manages the circulating sate of the medical equipment after acquiring the content of the records by the second device 30 and the third device 40. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a system and method for managing medical equipment used for medical practice in a medical institution.

  Disposable equipment, also called single-use equipment, is a disposable medical equipment that is used for only one patient in a single medical practice. Examples of disposable devices include infusion bags, catheter tubes, blood circuits, syringes, vacuum blood collection tubes, surgical nonwoven fabrics, and surgical rubber gloves. Disposable equipment is easy to rent and does not need to be repacked after re-sterilization like equipment that is rented to a hospital and reused. For this reason, medical equipment has been widely used since the mainstream of medical equipment has shifted to relatively inexpensive products.

  However, in recent years, complicated and expensive equipment has increased, and the way of disposable equipment has been reconsidered. Currently, much of the cost of disposable equipment is covered by surgical fees, and one study reports that the cost of disposable equipment in surgical fees is close to 50% in the highest laparoscopic cholecystectomy. ing. The medical treatment reward score for this technique is 22,400, that is, 224,000 yen, and the cost of disposable equipment is about 110,000 yen on average in many surgical hospitals.

Patent Document 1 discloses a system for recycling disposable equipment, and Patent Document 2 discloses a technique for selecting and packing only the latter of rental equipment and disposable equipment and delivering them to a hospital.
JP 2002-56080 A JP 2002-166261 A JP 2003-91596 A JP 2002-133250 A JP 2001-160106 A

  According to the techniques of Patent Documents 1 and 2, it is possible to partially improve the procurement and cost of disposable equipment and rental equipment. However, in reality, there are a mix of disposable equipment and rental equipment in the medical field, and it would be easy to improve the overall operation efficiency of the hospital even if an improvement plan was devised focusing on either of them. At least, there is room for further improvement.

  The present invention has been made in view of the present situation, and an object of the present invention is to provide a technique capable of reducing hospital management, procurement man-hours, and costs for both disposable equipment and rental equipment.

  Yet another object of the present invention is to facilitate the cost management of the hospital by managing both disposable equipment and rental equipment in an integrated manner, and as a result, whether it is explicit or implicit. The provision of technology that can fulfill the consultation function.

  Note that it is sufficient for the present invention to fulfill any one of these objects or an object that can be grasped from the embodiments described later, and it is not necessary to satisfy a plurality of objects at the same time.

  An aspect of the present invention includes a first device that supports provision of medical equipment to a medical institution, a second device that manages use of medical equipment on the medical institution side, and a re-use of medical equipment used in the medical institution. A third device for managing the use process, and the first device is a kit in which medical equipment used for medical treatment in a medical institution is mixed with buying and selling equipment and rental equipment, and the medical practice is a unit. Identify the information to be tailored, and when the second device actually uses the medical device included in the kit in clinical practice, the second device associates the fact of use with the used medical device before and after its use. The third device records at least one of a process for cleaning and re-sterilizing at least the leased equipment among the used medical equipment and a process for performing the maintenance process. Characterized in that it manages the circulation status of the medical instrument in terms of obtaining the contents of the recording by Beauty third device.

  Here, the “kit” is a package of medical equipment used in a predetermined medical practice such as endoscopic surgery, gastrectomy, and splenectomy. For example, endoscopic surgical kits include reusable equipment such as endoscopes, forceps, and trocars, and disposable equipment such as counter electrodes, clips, end pouches, and cherry die sectors. This includes equipment to be bought and sold that is sold and sold between the equipment provider and the medical institution, and then purchased and used by the medical institution.

  According to the above configuration, the medical equipment supply organization manages the circulation status of the medical equipment until the preparation of the kit used for the medical practice, the use confirmation of the medical equipment included in the kit, and the cleaning process of the rental equipment. Therefore, the management of both the purchase target equipment and the lease target equipment in the hospital is saved, and the management cost is reduced.

  In the above configuration, the first device and the third device are separate configurations, but the processing performed by the first device and the third device can be performed by one device.

  In addition, since both the equipment to be bought and sold and the equipment to be rented are managed in an integrated manner at the medical equipment provider, the cost management of the hospital becomes easy, and as a result, the hospital management consultation function can be achieved. .

  Preferably, the second device further notifies the first device of a schedule of a medical practice to be performed in a medical institution, and the first device specifies medical equipment that should constitute the kit based on the schedule.

  According to the above configuration, since the medical equipment constituting the kit is appropriately identified according to the scheduled medical practice in the hospital, the number of procurement steps for both the equipment to be purchased and leased in the hospital is reduced. .

  Preferably, the first device transmits the contents of a standard medical equipment kit to the second device for each medical practice, and the second device displays the transmitted contents so that the user can select and modify the contents.

  According to the said structure, the user can select and correct the content of a kit flexibly according to each medical treatment plan to be implemented in a hospital.

  Preferably, the third device compares an attribute value that specifies the reuse status of each part of the leased equipment that is input into the process with a predetermined allowable value, and determines whether or not further reuse is permitted in units of parts. .

  According to the above configuration, since it can be determined whether or not it can be reused in units of components constituting the leased equipment, finer quality control can be performed.

  Desirably, the first device calculates the usage status of the medical equipment by each medical institution from the information included in the second device, and executes the billing process.

  According to the above configuration, it is possible to save labor in the billing process according to the use status of medical equipment in each hospital.

  Another aspect of the present invention provides a first device that supports the provision of medical equipment to a medical institution, a second device that manages the use of medical equipment on the medical institution side, and a medical equipment used in the medical institution. A method of managing medical equipment using a third device for managing reuse processing, wherein the first equipment includes a purchase / purchase equipment and a lease-target equipment that are medical equipment used for medical practice in a medical institution. A step of identifying information for mixing and tailoring a kit with a medical practice as a unit; and in the second device, when the medical equipment included in the kit is actually used in the clinical practice, before and after the use Recording the fact of use in relation to the medical equipment used, and recording the progress of the process of cleaning and re-sterilizing the leased equipment of the used medical equipment in the third device. A step, the first device, characterized by comprising a step of managing the circulation status of the medical instrument in terms of obtaining the contents of the recording by the second device and third device.

  According to the above configuration, the medical equipment provider manages the circulation status of the medical equipment until the preparation of the kit used for the medical practice, the use confirmation of the medical equipment included in the kit, and the cleaning process of the equipment to be rented. In addition, the management of both the buying and selling equipment and rental equipment in the hospital is labor-saving, and the management cost is reduced.

  Still another aspect of the present invention includes a registration step of registering medical equipment held in an inventory database, an order receiving step for receiving an order for medical equipment in units of medical treatment from a medical institution, and writing into an order receiving database, and an inventory database. Refers to and outputs a shipping instruction step for outputting instructions to divide and order received medical equipment into kits based on clinical practice, and at least medical equipment included in the kit is used by medical institutions in the medical institution Once the rental equipment has been reused, a reuse management step that records the fact that the leased equipment has been reused, and equipment to be leased that records the completion of the reuse process can be put into the kit And a re-registration step of re-registering the medical database as the medical device.

  According to the above configuration, inventory management of medical equipment, ordering of medical equipment from hospitals, shipment of received medical equipment, reuse process of leased equipment and management of reusable leased equipment in a batch. Therefore, appropriate medical equipment management can be performed and management cost can be reduced.

  Preferably, when the medical device included in the kit is used in a medical institution, before and after the use, a use confirmation step for recording the fact of use in relation to the used medical device, and a fact of use are provided. And an unrecovered equipment detection step of detecting the recorded medical equipment that is a lease object equipment and has not been recovered.

  According to the said structure, the rental object apparatus which is not collect | recovered although it was used in the hospital can be detected correctly, and a rental object apparatus can be managed more appropriately.

  Preferably, in the reuse process, the leased equipment broken down into parts is washed, dried and re-sterilized, and then the parts are assembled to regenerate the leased equipment. Furthermore, the method includes a step of detecting an attribute value that specifies a reuse status for each part, and a step of comparing the detected attribute value with a predetermined allowable value to determine whether or not to allow reuse on a part-by-part basis.

  According to the above configuration, since it can be determined whether or not it can be reused in units of components constituting the leased equipment, finer quality control can be performed. Another aspect of the present invention includes a first device that supports provision of medical equipment to a medical institution, and a second device that manages use of the medical equipment on a specific medical institution side. Medical data that includes order data input means for inputting order data relating to a medical institution, wherein the first device discriminates medical equipment required for the specific medical action based on the order data input from the second device. Corresponding to the specific medical institution that is shipped to the specific medical institution, the order data management means that associates and manages the medical equipment determined by the medical equipment discrimination means and the order data Management information giving means for giving management information managed by the order data management unit to the medical equipment to be managed, and management managed by the order data management device for the medical equipment delivered to the medical institution Delivery verification means for matching information, management information managed by the order data management means for the medical equipment carried out from the medical institution after the specific medical practice is carried out in the specific medical institution And an unloading collating means for collating.

  According to the above configuration, it is possible to centrally manage the ordering of equipment at the hospital, the delivery of the ordered equipment and the collection of the equipment used at the hospital, so that the labor of equipment management on the hospital side can be saved. Since the recycling management of the equipment becomes easy, the cost of the equipment can be reduced.

  Another aspect of the present invention is a method of managing medical equipment using a first device that supports the provision of medical equipment to a medical institution and a second device that manages the use of medical equipment on a specific medical institution side. A step of inputting order data relating to a specific medical institution from the second device, and a medical device required for the specific medical action based on the order data input from the second device. The medical device discriminating step, the order data managing step in which the medical device discriminated by the medical device discriminating means and the order data are associated with each other and managed in the first device, and the medical device is shipped to the specific medical institution A management information giving step for giving management information managed by the order data management unit to medical equipment corresponding to the specific medical institution, and in the first device, the medical device A collation step upon delivery for collating the medical equipment delivered to the management information managed by the order data management device, and after the specific medical practice is performed at the specific medical institution in the first device An unloading collation step of collating the medical equipment unloaded from the medical institution with the management information managed by the order data management means.

  According to the present invention, it is possible to reduce the management, procurement man-hours, and costs of both buying and selling equipment and rental equipment in a hospital.

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

  FIG. 1 shows the overall configuration of a medical device management system 10 according to the first embodiment. The medical equipment management system 10 includes a first apparatus 20 that supports the provision of medical equipment to a medical institution 4 such as a hospital, a second apparatus 30 that manages the use of medical equipment on the medical institution 4 side, and a medical institution. And a third device 40 that manages the reuse processing of the used medical equipment.

  In the present embodiment, the first device 20 and the third device 40 are provided to the medical equipment providing organization 2 that provides medical equipment to the medical institution 4, collects medical equipment from the medical institution 4, and performs management work on the medical equipment. The second device 30 is installed in a medical institution 4 that performs medical treatment using medical equipment.

  Each of the first device 20, the second device 30, and the third device 40 is configured as a microprocessor centered on a CPU, and includes a ROM that stores a processing program, a RAM that temporarily stores data, and a data A storage device such as a hard disk, an input / output port, and a communication port.

  The first device 20, the second device 30, and the third device 40 are connected to a network 50 such as the Internet or a LAN, and can perform data communication with each other.

  The first device 20 and the third device 40 are connected to a database group 60 provided in the medical device providing organization 2. The database 60 includes, for example, an inventory database that stores information on the inventory of medical equipment in the medical equipment provider 2, an order database that stores information about kit orders, a contract database that stores information about contracts, and a collection target A collection database storing information about medical equipment is included. The second device 30 is connected to a database group 32 provided in the medical institution 4. The database 32 includes, for example, an inventory database in which information related to the inventory of medical equipment in the medical institution 4 is stored.

(Embodiment 1)
FIG. 2 shows an overall flow from ordering to collection of medical equipment in the medical equipment management system 10 according to the first embodiment. In FIG. 2, the solid line indicates the flow of processing, and the dotted line indicates the movement of the article.

  First, an operation schedule is determined in the medical institution 4 (S1). After receiving the contents of the standard medical equipment kit for each medical practice from the first device 20, the second device 30 creates an ordering screen that displays a desired kit from the kit list in a selectable manner. Display the ordering screen on the monitor. The user looks at the ordering screen and selects a kit suitable for the scheduled operation. When a kit is selected from the displayed kit list, the second device 30 transmits kit ordering information to the first device 20 (S2).

  Based on the received ordering information, the first device 20 mixes the purchase / purchase equipment and the equipment to be rented, which are medical equipment used for the medical practice in the medical institution 4, and makes a kit with the medical practice as a unit. The inventory information of the equipment to be leased is confirmed (S3). Subsequently, the first device 20 performs a process of concluding a lease contract for equipment to be leased based on the contents of the order, and records information on the lease contract in the database 60 (S4). Based on the contract contents of the lease contract, the kit is packed and shipped to the medical institution 4 (S5).

  The kit delivered to the medical institution 4 is stored in the medical institution 4. The second device 30 records the delivered kit as a stock in the database 32 (S6). The delivered kit is used for surgery according to the schedule of surgery. Information on the kit used for the operation is read into the second device 30 before or after the operation, and the read information is transmitted to the first device 20 (S7). Of the kits used in the operation, the equipment to be bought and sold is discarded, and the equipment to be rented is subjected to washing and sterilization (S8). The rental target equipment that has been washed and sterilized by the medical institution 4 is collected by the medical equipment providing institution 2 (S9). The second device 30 calculates the cost of the medical equipment used for the operation and calculates the cost required for the operation (S10).

  The reused equipment included in the collected rental equipment is disassembled into parts, and after the secondary cleaning and sterilization treatment, the appearance inspection and the number of times of use are performed, and it is sorted into reusable and non-reusable parts. Is done. Non-reusable parts are repaired or replaced. Reusable equipment is assembled using reusable parts and parts that have been repaired or replaced, and reused as equipment to be leased (S11). The third device 40 records the progress of each process in the reprocessing step of S11 in the database 60.

  As described above, in the medical equipment management system 10, the medical equipment ordered by the medical institution 4 is procured by the medical equipment providing institution 2. Of the medical equipment procured by the medical equipment providing organization 2, leased equipment is collected by the medical equipment providing organization 2 after being used in the medical institution 4. Of the collected rental equipment, the reuse equipment is reused through the reprocessing step S10. Further, in the medical device management system 10, the first device 20 manages contract management such as billing processing based on the contract, grasps the distribution / circulation status of the rental target equipment, manages the inventory of the medical equipment, and manages the number of times the medical equipment is used. The medical device management such as is performed (S12). In addition, the third device 40 generates information that can be provided for management reform of the medical institution 4 using case data, costs, and the like, using information on the usage amount of each medical device in the hospital. Examples of the information that can be provided include customer analysis based on the usage status of equipment, sales activities, cost of sales management, and asset management.

(Embodiment 2)
FIG. 3 shows an overall flow from ordering to collection of medical equipment in the medical equipment management system 10 according to the second embodiment. In FIG. 3, the solid line indicates the flow of processing, and the dotted line indicates the movement of the article. Since the basic configuration of the second embodiment is the same as that of the first embodiment, the description of the same configuration as that of the first embodiment is omitted. In the second embodiment, the rental target equipment that has been subjected to the washing and sterilization process in S8 is temporarily stored in the medical institution 4 and then reused in surgery. The leased equipment that has been used a predetermined number of times in the medical institution 4 is recovered by the medical equipment providing institution 2 after being washed and sterilized (S9). As described above, in the second embodiment, the rental equipment is circulated through the cycle of use in the medical institution 4 and the washing / sterilization process, and the medical equipment providing institution 2 periodically performs maintenance and collection. For this reason, since it is possible to save the trouble of delivering and collecting the equipment to be rented every time it is operated, the distribution cost can be reduced.

  The above is the overall configuration and overall flow of the medical device management system 10. Hereinafter, various systems characteristic of the present invention will be described.

(Lease contract conclusion and performance confirmation system)
(Example 1)
In this example, a lease contract, a sales contract, and a pre-processing contract are collectively concluded between the medical institution and the medical equipment providing organization from the order of medical equipment to delivery, and the stage from delivery to collection Then, the execution of the contract is confirmed. Since these processes are performed for each lot of medical equipment and contracts are managed for each lot, the ease and certainty of contract conclusion can be ensured.

  FIG. 4 is a functional block diagram showing a basic configuration of a medical device management system installed at a provider and a provider of medical devices. A medical institution management system 152 installed in each of a plurality of medical institutions is connected to the medical instrument management system 100 via a network 150. Here, the medical institution management system 152 is used for ordering medical equipment and managing order contents and contracts, and order data indicating the ordered medical equipment is transmitted to the medical equipment management system 100 via the network 150. The The medical device management system 100 and the medical institution management system 152 correspond to the first device 20 and the second device 30 shown in FIG.

  The medical equipment management system 100 includes an order input unit 102, a lease contract generation unit 104, an equipment data storage unit 106, a preprocessing contract generation unit 108, a contract management unit 110, a contract storage unit 112, a performance management unit 114, and an inquiry input unit 116. , A preprocessing confirmation unit 118 and a display unit 120 are provided.

  The order input unit 102 receives input of order data. The order data can also be input by directly operating the medical equipment management system 100, but here the order input unit 102 receives from the medical institution management system 152 via the network 150. The order data includes a method for designating medical equipment to be ordered and a method for designating the type of medical practice or the name of a case. In this embodiment, the case name is specified in the order data.

  The lease contract generation unit 104 extracts, from the input order data, an order related to a lease target equipment to be leased and a trade target equipment to be bought and sold based on a predetermined equipment table. The equipment table is stored in advance in the equipment data storage unit 106. In the equipment table, information such as equipment name, classification, contract type, equipment identification number, etc., and medical practice name or case name are associated with the equipment to be leased and equipment to be bought and sold. The lease contract generation unit 104 extracts necessary lease target equipment and trade target equipment from the equipment table based on the medical practice name or case name specified in the order data.

  The lease contract generating unit 104 generates lease contract data related to the lease contract of the extracted rental target equipment together with sales contract data related to the extracted sales contract of the target equipment. The lease contract data is composed of information such as medical equipment, identification information, contract number, contract date, etc., subject to the contract, and the agreement between the two parties is obtained based on the fact that the lease contract data is generated and stored. It is assumed that the contract has been concluded. Similarly, sales contract data is configured by associating medical equipment, identification information, contract number, contract date, and other information subject to the contract, and the agreement between the parties is based on the fact that the sales contract data is generated and stored. It is assumed that the contract has been concluded.

  The pre-processing contract generation unit 108 further generates pre-processing contract data as a contract for the lease target equipment that is the target of the lease contract. The pre-processing contract is a contract related to pre-lending processing including inspection processing to be performed before lending equipment to be rented. The loan pretreatment includes, for example, steps such as collection of rented equipment, cleaning, disinfection, sterilization, inspection, repair, assembly, and individual packaging. Pre-processing contract data is configured by associating medical equipment, identification information, contract number, contract date, and other information subject to the contract, and the agreement between the two is based on the fact that the pre-processing contract data has been generated and stored. It is assumed that the contract has been concluded. The pre-processing confirmation unit 118 accepts an input of the fulfillment date as a fact that the pre-lending process is executed and the contract is executed at the time of the pre-lending process for the rental target equipment. The performance management unit 114 writes the received performance date in the preprocessing contract data, and treats the preprocessing contract as fulfilled by the writing. In this embodiment, the medical equipment that is the subject of the pretreatment contract is used in the medical institution, and when the pretreatment such as collection, inspection, and repair is completed, the execution date of the pretreatment contract is input.

  The contract management unit 110 records the order data, lease contract data, sales contract data, and pre-processing contract data in the contract storage unit 112 in association with each other. The inquiry input unit 116 receives an input of an inquiry for inquiring at least one of order data, lease contract data, sales contract data, and preprocessing contract data recorded in the contract storage unit 112. The inquiry input unit 116 extracts at least one of the inquired order data, lease contract data, sales contract data, and preprocessing contract data from the contract storage unit 112 and causes the display unit 120 to display the extracted data. Thereby, the administrator can extract and browse desired contract data. The contract management unit 110 can charge the medical institution for the cost when each contract is executed.

  FIG. 5 is a functional block diagram showing a basic configuration of the medical institution management system. The medical institution management system 152 includes a display unit 151, an order processing unit 153, a usage record input unit 154, a transmission / reception unit 155, a contract management unit 156, a contract storage unit 157, an inventory data storage unit 158, and an inquiry input unit 159. This medical institution management system 152 is installed in each medical institution for medical equipment inventory management, order management, and contract management. The order processing unit 153 generates order data based on information input by the medical device manager in the medical institution and transmits the order data to the medical device management system 100 via the transmission / reception unit 155.

  The transmission / reception unit 155 receives the contract data transmitted from the medical device management system 100 corresponding to the order data, and sends it to the contract management unit 156 together with the order data acquired from the order processing unit 153. The contract data includes lease contract data, preprocessing contract data, and sales contract data. The contract management unit 156 records the order data and the contract data in the contract storage unit 157, and updates the number of medical equipment stocks based on the order data. The inventory number of medical equipment is stored in the inventory data storage unit 158. When the medical device to be contracted is used in the medical institution and the lease contract is executed, the use record input unit 154 receives the contract execution date for the medical device from the administrator of the medical institution. The fulfillment date of the lease contract is written in the contract data stored in the contract storage unit 157 and transmitted to the medical device management system 100 via the transmission / reception unit 155. The order input unit 102 of the medical device management system 100 sends the performance date of the lease contract to the contract management unit 110, and the contract management unit 110 writes the performance date in the lease contract data. Thereby, the certainty of the execution of the lease contract and the ease of management can be secured.

  The inquiry input unit 159 receives the contract data stored in the contract storage unit 157 or information for inquiring the inventory data stored in the inventory data storage unit 158 from the administrator, and the contract data or inventory corresponding to the inquiry is input. The contract management unit 156 extracts the data and causes the display unit 151 to display the data.

  FIG. 6 shows an outline of the overall flow from ordering medical equipment to charging between a medical institution and a medical equipment providing institution. First, in the medical institution, the order contents are input on the ordering screen by the operation of the medical device manager (S150), and the input order data is transmitted to the medical device management system 100 (S152). The order input unit 102 of the equipment management system 100 receives it (S154).

  After confirming the contents of the order data received in S154 (S156), a lease contract, a preprocessing contract, and a sales contract are concluded based on the contents of the order data (S158). These processes from S154 to S158 are the main contract conclusion processes.

  After confirming the stock of the medical equipment as the order contents based on the order data received in S154 (S160), the medical equipment to be contracted is extracted from the stock (S162), and the number and configuration of the medical equipment are finally confirmed. (S164), these medical devices are sent to a medical institution (S166).

  The medical equipment sent from the medical equipment providing organization is delivered to the medical institution (S168), preparation for the operation is started (S170), the preparation content is confirmed (S172), and the operation is performed (S174). After the operation, the date of use of at least the lease target equipment subject to the lease contract among the medical equipment used in the surgery is input as the contract fulfillment date (S176), and the used lease target equipment is the medical equipment. Carry out to the provider (S178). The process from S168 to S178 is the main contract execution confirmation process.

  Collect used equipment to be rented out from the medical institution (S180), charge the rental fee according to the type and number of used medical equipment, and send the billing data to the medical institution (S182). The institution receives billing data (S184).

  FIG. 7 shows a process and data flow related to contract conclusion between the medical institution management system and the medical equipment management system. The medical institution management system 152 receives an order for medical equipment from a manager of the medical institution (S100), transmits the order data to the medical equipment management system 100 (S102), and the medical equipment management system 100 receives the order data. (S104). The medical equipment management system 100 identifies a medical practice or case based on the order data (S106), extracts medical equipment subject to a lease contract and a sales contract (S108), and generates a lease contract data and a sales contract. (S110). In addition, a pre-processing contract is further generated for the leased equipment subject to the lease contract (S112), and whether or not the pre-processing contract has been fulfilled is confirmed and the execution date is recorded (S114). The sales contract data and the preprocessing contract data are transmitted to the medical institution management system 152 (S116).

  The medical institution management system 152 that has received the lease contract data, the sales contract data, and the preprocessing contract data notifies the administrator of the medical institution of the contract contents to confirm the contents (S118), and has been confirmed after the confirmation. Is sent to the medical device management system 100 (S120). The medical device management system 100 records the contract data in the contract storage unit 112 when the contract content is confirmed (S122).

  FIG. 8 shows a process and data flow related to confirmation of contract performance between the medical institution management system and the medical equipment management system. In the medical institution management system 152, the fulfillment date of the lease contract is input from the manager of the medical institution as the fact that the rental target equipment used in the operation has been used (S130). The medical institution management system 152 updates the medical equipment database in the medical institution based on the entered contract fulfillment date (S132), and transmits the contract fulfillment date information to the medical equipment management system 100 (S134). The administrator is notified that the lease contract for the medical equipment has been completed (S136).

  The medical equipment management system 100 that has received the performance date of the lease contract updates the database by writing the performance date in the lease contract data (S138), and notifies the display unit 120 that the lease contract has been completed (S140).

  It should be noted that the contract fulfillment date input in S130 is, for example, any timing of delivery of medical equipment (S168), preparation for surgery (S170), confirmation of use (S176), and collection of medical equipment (S180) in FIG. It may be done at. When input is performed in a medical institution, for example, an administrator may input information through operation of a mobile terminal.

  FIG. 9 schematically shows the contents of the equipment table. The instrument table 160 is stored in the instrument data storage unit 106. The instrument table 160 includes a case name column 162, a cost classification column 164, a model classification column 166, an instrument name column 168, and an instrument ID column 170. The case name column 162 stores a case name or medical practice name such as “transurethral prostatectomy”, “laparoscopic gastrectomy”, or “spleenctomy”. The expense classification column 164 stores contract classifications such as “rental lease” and “purchased”. The type classification column 166 stores medical equipment classifications such as “endoscope”, “forceps”, and “trocar”. The instrument name column 168 stores medical instrument names such as “endoscope”, “A code”, “camera head”, and “light guide”. The device ID column 170 stores device identification information for specifying medical devices such as “OLY000001-xxxxxxxx” and “OLY000002-xxxxxxxx”. This equipment identification information is formed by combining a part “OLY000001” uniquely assigned to each type of medical equipment and a part “xxxxxxxx” uniquely assigned in units of lots of the medical equipment.

  FIG. 10 schematically shows the contents of the contract table. The contract table 180 is stored in the contract storage unit 112. The contract table 180 includes a contract type field 182, a contract number field 184, a model classification field 186, an equipment name field 188, and an equipment ID field 190. The contract type column 182 stores contract types such as “lease contract”, “preprocessing contract”, and “sales contract”. The contract number column 184 stores contract numbers such as “1000000001”, “2000000001”, and “3000000001”. The contract number is a number uniquely assigned to each contract, and the first digit represents the contract type. For example, when the first digit is “1”, it indicates a lease contract, “2” indicates a pre-processing contract, and “3” indicates a sales contract. The type classification field 186 stores medical equipment classifications such as “endoscope”, “forceps”, and “trocar”. The instrument name column 188 stores medical instrument names such as “endoscope”, “A code”, “camera head”, and “light guide”.

  The equipment ID column 190 stores equipment identification information for specifying medical equipment such as “OLY000001-00000001” and “OLY000002-00000001”. This equipment identification information is formed by combining a part “OLY000001” uniquely assigned for each type of medical equipment and a part “00000001” uniquely assigned for each lot of the medical equipment. The contract date column 192 stores the date on which each contract is concluded. The fulfillment date column 194 stores the date when the contract is executed, that is, the date when the medical device subject to the lease contract is used and the date when the medical device subject to the pretreatment contract is preprocessed. FIG. 10 shows a state in which the fulfillment date is not entered in the fulfillment date column 194 because the medical device to be contracted has not been used yet and the medical device to be pretreated has not been pretreated. .

  In this way, the lease contract data, the preprocessing contract data, and the sales contract data are tabulated and stored in the contract storage unit 112. Further, the contract data can be extracted from the contract table 180 using the equipment identification information as a key.

(Example 2)
Unlike the pre-lending process in Example 1, the pre-lending process in this example does not include the steps of cleaning, disinfecting, and sterilizing equipment that has already been rented, and is collected, inspected, repaired, assembled, individually packaged, or kitted. Only the process is included. That is, cleaning, disinfection, and sterilization of equipment to be rented are performed by the medical institution, and collection, inspection, repair, assembly, and individual packaging are performed by the medical equipment provider. In this case, the leased equipment once used is used again in the medical institution through the steps of cleaning, disinfecting, and sterilization, and after being used several times in such a manner, the medical equipment providing institution collects it. Accordingly, lease contracts and pretreatment contracts are concluded on the assumption that medical equipment is collected after multiple uses. As described above, the medical device management system 100 according to the present embodiment can easily conclude a contract regardless of the assumed number of times of use, and the medical institution can reduce the burden required for maintenance and management of the medical device. it can.

  In the embodiment, the lease contract, the sales contract, and the pretreatment contract are each concluded for each lot of medical equipment, and the contract data is generated. In the modified example, the lease contract generation unit 104 and the preprocessing contract generation unit 108 determine the contract validity period or the number of deliveries and collections regardless of the number of items for which the lease contract, the sales contract, and the preprocessing contract are targeted. It may be generated in the form of a comprehensive contract with a unit of. In that case, the charge for each contract can be set flexibly, and the medical equipment to be managed and the unit of the number of contracts can be made flexible.

  In the embodiment, a configuration in which a medical practice name or a case name is specified in the order data is described. In the modified example, the medical device name may be specified in the order data. Moreover, although the medical practice name or case name of the endoscopic surgical operation is illustrated as the medical practice name or case name in the embodiments, it is not intended to be limited to the endoscopic surgical operation.

(Parts management system)
(Example 3)
As described above, medical equipment can be broadly classified into equipment to be bought and sold and equipment to be rented. However, it includes reusable components even for equipment that is intended for sale based on single use. Conversely, even reusable equipment for lease cannot be reused infinitely. For example, in the case of the forceps described above, the degree of wear after a single use varies depending on the part. It is considered that the parts of the part called the end effector that grasps the surgical object are worn out by use. On the contrary, it is considered that the handle parts operated by the doctor are not consumed much compared to the handle parts. In this embodiment, the medical device is managed based on the characteristics of the component based on the component of the medical device.

  FIG. 11 is a schematic diagram for explaining a distribution route of components of medical equipment (hereinafter simply referred to as “parts”) in the medical equipment recycling system. In the parts recycling system 222, the medical equipment providing organization 200, the medical institution 204, and the parts information database 206 are connected via the Internet 202, respectively. In the figure, for the purpose of explanation, it is assumed that the parts recycling system 222 is composed of one medical equipment providing organization 200 and one medical institution 204, but normally, a plurality of medical equipment providing organizations 200 and the Internet 202 are used. The entire parts recycling system 222 is configured.

  The medical equipment providing organization 200 is an organization that provides medical equipment, and corresponds to, for example, a medical equipment manufacturer. The medical institution 204 is an institution serving as a user of medical equipment, and usually corresponds to a hospital. The component information database 206 is a database for managing component information for each component. A parts information database 206 may exist inside the medical equipment providing organization 200. An authenticated third party may be able to access the component information database 206 via the Internet 202.

  The medical equipment providing organization 200 first assembles medical equipment to be delivered to the medical institution 204 (S210). The medical equipment providing organization 200 delivers the assembled medical equipment to the medical institution 204 (S212). Usually, medical equipment is delivered based on an order from the medical institution 204. In the medical institution 204, the delivered medical equipment is used (S214). The medical device, that is, each component constituting the medical device is contaminated by use. The used medical device is disassembled into parts (S216). Of the disassembled parts, parts that cannot be reused (hereinafter referred to as “disposable parts”) are discarded (S218). Usually, a medical waste disposer collects such disposable parts. The reuse parts are sterilized after washing (S220). The medical device providing organization 200 collects the reuse parts that have been subjected to such cleaning and sterilization processing (S222).

  It is determined whether the collected reuse parts can be reused or should be discarded according to the use state of the parts (S224). The process of S224 will be described in detail later. The reuse parts determined to be discarded are discarded (S226). Usually, a medical waste disposal company collects such reuse parts. The reuse component determined to be reusable becomes a new medical device component in S210 again. When assembling the medical equipment in S210, new parts are appropriately procured (S228). The parts may be procured from among the parts manufactured in-house by the medical equipment providing organization 200. Alternatively, 200 may procure new parts from an external parts manufacturer.

  The above is the process from parts procurement to disposal. Along with the execution of each process in these distribution channels, the state of the component is input to the component information database 206 as appropriate. Although details will be described later, in S224, the reuse component reuse determination is executed based on the component information stored in the component information database 206. Each of these processing steps may be executed in either the medical equipment providing organization 200 or the medical institution 204. For example, the cleaning and sterilization process shown in S220 may be executed by the medical device providing organization 200. Alternatively, the medical device providing organization 200 may take over the medical device used in S214, and the processing after S214 may be executed by the medical device providing organization 200. The billing process is also executed with the ordering and delivery of the medical equipment, but these details are omitted in FIG. 11 for the sake of simplicity.

  FIG. 12 is a functional block diagram of the component information terminal 224 assigned to the component. The component information terminal 224 includes an external interface processing unit 226, a use attribute value storage unit 228, and a component ID storage unit 230. For the components constituting the medical device, identification information for identifying the components (hereinafter referred to as “component ID”) and information indicating the usage state of the component (hereinafter referred to as “use attribute value”) are managed. Therefore, a parts information terminal 224 is provided. The component ID is a unique ID assigned to each component regardless of the component type. Currently, contactless tags called RFID (Radio Frequency Identification) are becoming popular. The component information terminal 224 is realized on such a readable / writable minute recording medium.

  The component ID storage unit 230 stores a component ID. In addition to the component ID, the component ID storage unit 230 may store more various information such as the type of component. The use attribute value storage unit 228 stores use attribute values of parts. The use attribute value is a value serving as an index indicating the use state of the part. For example, the use attribute value may be the number of times the part is used. Alternatively, the use attribute value may be a use point specified according to the use state or wear level of the part. The usage point is calculated according to the usage status of the part. For example, a part used for a long-time operation has many points of use according to the length of the time. Further, the assumed wear level of parts may be set in advance according to the type of surgery in which the medical equipment is used, and the use point may be specified according to the content of the surgery.

  The external interface processing unit 226 is in charge of interface processing with the medical device management apparatus 240. The medical device management apparatus 240 reads the component ID and the use attribute value via the external interface processing unit 226. Further, the medical device management apparatus 240 updates the use attribute value of the use attribute value storage unit 228 via the external interface processing unit 226. The external interface processing unit 226 may display the use attribute value stored in the use attribute value storage unit 228 by visible information such as a numerical value and a color. When the use attribute value exceeds a preset threshold value, the external interface processing unit 226 may notify the user to that effect by a color display different from the normal state.

  FIG. 13 is a functional block diagram of the medical device management apparatus 240. Each block shown here can be realized in hardware by an element such as a CPU of a computer or a mechanical device, and in software it is realized by a computer program or the like. Draw functional blocks. Therefore, those skilled in the art will understand that these functional blocks can be realized in various forms by a combination of hardware and software. Most of the functions of the medical device management apparatus 240 can be realized mainly by a personal computer and software for the medical device providing institution 200. The medical device management apparatus 240 corresponds to the first apparatus 20 shown in FIG.

  The medical device management apparatus 240 includes a user interface processing unit 242, a component interface processing unit 244, a data processing unit 246 and a component data storage unit 252. The component data storage unit 252 stores information for each component. The main functions of the component data storage unit 252 are realized by the component information database 206. The data structure of the component data storage unit 252 will be described in detail later. The user interface processing unit 242 is in charge of processing related to the user interface. The user interface processing unit 242 receives an operation from the user. In addition, the user interface processing unit 242 displays various types of information related to components on the screen for the user. The component interface processing unit 244 is in charge of processing related to the interface with the component information terminal 224. The component interface processing unit 244 acquires the component ID and the use attribute value from the component information terminal 224 given to the component. Also, the component interface processing unit 244 writes the use attribute value in the component information terminal 224.

  The data processing unit 246 processes the data acquired by the component interface processing unit 244 and the user interface processing unit 242 and stores them in the component data storage unit 252. In addition, the data processing unit 246 converts the data stored in the component data storage unit 252 into a format for the component interface processing unit 244 and the user interface processing unit 242 to transmit to the outside.

  The data processing unit 246 further includes a use attribute value processing unit 248 and a component registration unit 250. The usage attribute value processing unit 248 is in charge of processing related to the usage attribute value of the component. The usage attribute value processing unit 248 updates the usage attribute value read by the component interface processing unit 244. The component interface processing unit 244 writes the updated use attribute value in the component information terminal 224. If the usage attribute value is the number of times the component is used, the usage attribute value processing unit 248 increments the usage attribute value as the usage count in S224 of FIG. The usage attribute value processing unit 248 determines whether or not the part can be reused based on the usage attribute value of the part acquired by the part interface processing unit 244. The processing of the use attribute value processing unit 248 will be further described in detail with reference to the flowcharts of FIGS. 15 and 16. In S228 of FIG. 11, when a new part is procured, the part registration unit 250 registers information related to the part in the part data storage unit 252 in accordance with an instruction from the user interface processing unit 242.

  FIG. 14 is a diagram illustrating a data structure of the component data storage unit 252. The component ID column 262 indicates a component ID. The medical device ID column 264 indicates a medical device ID that identifies a medical device. The medical device ID here is not a type of medical device but an ID for uniquely identifying each medical device. The medical device ID column 264 indicates in which medical device each component shown in the component ID column 262 is incorporated. For example, the parts with the component IDs “001”, “002”, and “008” are the components of the medical equipment with the medical equipment ID “006”. On the other hand, the parts having the part IDs “005” and “006” are not incorporated in the specific medical device. That is, it exists as a single component.

  The use count column 268 indicates the current use count of each component. When the part is collected in S224 of FIG. 11, the part interface processing unit 244 reads the use count as the use attribute value from the part information terminal 224 given to the part. The use attribute value processing unit 248 increments the read use count. The use attribute value processing unit 248 writes the incremented use count in the use count column 268. In addition, the component interface processing unit 244 writes the incremented new usage count as a usage attribute value in the component information terminal 224. For example, a part whose part ID is “001” has already been used 40 times. On the other hand, the component with the component ID “004” has a usage count of zero, indicating that it is a newly procured component.

  The specified number of times column 270 indicates the number of times each component can be used (hereinafter referred to as “specified number of times”). When the number of times a part is used exceeds the specified number, the use attribute value processing unit 248 determines that the part cannot be reused. The part location column 272 indicates the location of the part. For example, a part whose part ID is “001” has already been delivered to “A hospital”. When the delivery in S212 of FIG. 11 is completed, the medical institution 204 updates the information in the parts location column 272. The component with the component ID “006” is currently being collected by the medical equipment providing organization 200. When the collection of S222 in FIG. 11 is completed, the medical equipment providing organization 200 updates the information in the parts location column 272. Thereby, the distribution of parts can be tracked in the parts information database 206.

  The registration date column 274 indicates the date and time when the component information is newly registered in the component data storage unit 252. The update date column 276 indicates the latest update date / time of the component information. The unit price column 278 shows the unit price of the part. The unit price column 278 may be the purchase unit price of the part, or the lease price when the part is reused. The component type column 280 indicates the type of component. The types of the component with the component ID “002” and the component with “006” are both “B18”, which are components of the same type.

  The embeddable medical equipment column 282 indicates the type of medical equipment that can incorporate the part. Some parts are general-purpose parts that can be incorporated into multiple medical devices. For example, a component with a component ID “003” can be incorporated into two types of medical devices “QS22” and “R16”. By referring to the installable medical equipment column 282 in S210 of FIG. 11, there is an effect in avoiding that the medical equipment is assembled by wrong parts. Further, the component data storage unit 252 may store information about compatibility between components. The supplier column 284 indicates the supplier when purchasing parts in S228 of FIG.

  The number-of-uses column 268 and the specified number-of-times column 270 show cases where the number of uses is used as the use attribute value. You may utilize the use point according to a wear degree as a use attribute value. For example, the usage point may be set according to the usage time of the part. In this case, the part data storage unit 252 stores time information when the part is used in the operation.

  You may provide the database which set the use point for every component beforehand according to the wear degree of the component assumed according to the content of surgery. The part data storage unit 252 stores information on the operation in which the part is used. At this time, the use attribute value processing unit 248 specifies a use point by referring to the database according to the operation in which the part is used.

  FIG. 15 is a flowchart illustrating a process of determining reuse of a reuse component based on the number of times of use. This flowchart shows the processing in S224 of FIG. 11 in detail. The component interface processing unit 244 reads the component ID from the component information terminal 224 of the collected component (S230). The use attribute value processing unit 248 increments the number of times the collected parts are used (S232). The component interface processing unit 244 writes the incremented usage count in the component information terminal 224. The use attribute value processing unit 248 accesses the component data storage unit 252 and determines whether the number of uses after increment is within the specified number (S234). If it is within the specified number of times (Y in S234), the use attribute value processing unit 248 updates the number of times of use of the component corresponding to the component ID read in S230 (S236). The user interface processing unit 242 notifies the user that the component can be reused (S238), and the process ends. In S238, the component interface processing unit 244 may write to the component information terminal 224 that the component can be reused. The parts information terminal 224 visually displays that it can be reused.

  If it is not within the specified number of times in S234 (N in S234), the component registration unit 250 deletes the component information of the component corresponding to the read component ID from the component data storage unit 252 (S240). The user interface processing unit 242 notifies that this part should be discarded (S242). In S242, the component interface processing unit 244 may write to the component information terminal 224 that the component cannot be reused. The parts information terminal 224 visually displays that it cannot be reused. The component registration unit 250 searches the component data storage unit 252 for a component to replace the component to be discarded (S244). The part registration unit 250 preferentially searches for parts of the same part type as the parts to be discarded and not incorporated in a specific medical device. The user interface processing unit 242 notifies the user of the searched alternative part information (S246), and the process ends. When no substitute part is found, the user interface processing unit 242 may notify that a new part should be procured.

  FIG. 16 is a flowchart illustrating a process of determining reuse of a reuse component at a use point based on the degree of wear of the component. This flowchart shows the processing in S224 of FIG. 11 in detail. The component interface processing unit 244 reads the component ID from the component information terminal 224 of the collected component (S250). The use attribute value processing unit 248 updates the use points of the collected parts (S252). The component interface processing unit 244 writes this updated use point in the component information terminal 224.

  The component interface processing unit 244 writes this updated use point in the component information terminal 224. The use attribute value processing unit 248 accesses the component data storage unit 252 and determines whether or not the updated use point is within a specified use point (hereinafter simply referred to as “specified point”) (S254). The specified point is the number of points used as a limit value for use of parts. If it is within the specified point (Y in S254), the user executes an inspection of this part (S256). The term “inspection” as used herein refers to shape inspection using a stereomicroscope as disclosed in Patent Document 1, dimensional inspection using electronic calipers, and the like.

  In accordance with the inspection result, the user re-updates the use points via the user interface processing unit 242 (S258). That is, if the degree of wear of the component is higher than expected, the use point is added, and if it is within the assumption, the use point is subtracted. The component interface processing unit 244 writes this re-updated usage point in the component information terminal 224. The use attribute value processing unit 248 accesses the component data storage unit 252 and determines whether or not the use point after re-update is within the specified point (S260).

  The use attribute value processing unit 248 updates the use point of the component corresponding to the component ID read in S250 and stores it in the component data storage unit 252 (S262). The user interface processing unit 242 notifies the user that the component can be reused (S264), and the process ends. In S264, the component interface processing unit 244 may write to the component information terminal 224 that the component can be reused. The parts information terminal 224 visually displays that it can be reused.

  If it is determined in S254 or S260 that the use point of the part is not within the specified point (N in S254, N in S260), the process proceeds to S266. The processing from S266 to S272 corresponds to the processing from S240 to S246 in FIG.

  According to the flowchart of FIG. 16, it is not always necessary to execute the inspection in S256 at the time of collection by the processing in S254. The inspection in S256 may be executed only when the use point is close to the specified point. Further, the use points may be subtracted by the maintenance of the parts. Even when the inspection corresponding to S256 is used in combination when determining the reuse of the component based on the number of times of use, the number of inspections can be reduced by the same method.

(Cost calculation system)
Example 4
FIG. 17 is a configuration diagram of a medical device management apparatus 300 according to the fourth embodiment. In terms of hardware components, each component of the medical device management apparatus 300 is a CPU, a memory, a program that implements the components shown in the figure loaded in the memory, and a storage such as a hard disk that stores the program. Although it is realized centering on a unit, a network connection interface, etc., it will be understood by those skilled in the art that there are various modifications in the implementation method and apparatus. Each figure to be described below shows functional unit blocks, not hardware unit configurations. The medical device management apparatus 240 corresponds to the first apparatus 20 shown in FIG.

  The input unit 302 receives input of information related to medical equipment (hereinafter simply referred to as “medical information”) necessary for performing a specific medical action via an input device such as a keyboard or a mouse. The input unit 302 may receive the names of medical devices individually, or may accept case names indicating medical practices such as “transurethral prostatectomy” and “laparoscopic gastrectomy”. When a case name is supplied as medical information, the selection unit 304 selects a medical device used in the case with reference to the case database 318.

  FIG. 18 is a diagram illustrating an example of a data structure of the case database 318 in FIG. The case ID column 350 holds information for identifying a case. The case name column 351 holds the name of the case. The classification column 352 holds information indicating the classification of medical equipment. The instrument name column 353 holds the name of the medical instrument. The instrument ID column 354 holds an instrument ID for identifying a medical instrument. For example, for “transurethral prostatectomy” identified by the case ID “005”, “endoscope” “end eye”, “forceps A”, “stripping forceps A”, etc. It is attached. In this manner, the case database 318 holds information that identifies medical equipment used for each case in association with each other. In addition, although only the case using an endoscope is described in this figure, it is not limited to the case using an endoscope. The case database 318 can hold information regarding various cases.

  Returning to FIG. 17, the selection unit 304 refers to the case database 318 using the case name supplied from the input unit 302 as a search key, and selects a medical device associated with a predetermined case. Then, the selection unit 304 outputs the device ID of the selected medical device to the determination unit 306. In this way, by associating medical equipment that may be used in each case in advance, cases designated by the user, that is, medical equipment used in medical practice are automatically selected. The

  When determining the cost for each medical practice (hereinafter simply referred to as “case cost”) for each medical device selected by the selection unit 304, the determination unit 306 calculates the usage fee of the medical device as the case cost. It is determined whether or not it is used. Hereinafter, a medical device whose usage fee is used to calculate a case cost is referred to as a “calculation target medical device”, and a medical device that does not correspond to the calculation target medical device is referred to as a “non-calculation target medical device”. In this embodiment, leased equipment that is subject to lease or equipment that is subject to sale is used to calculate case costs, and medical equipment that does not fall under leased equipment or equipment that is subject to sale is used to calculate case costs. Do not use. That is, the determination unit 306 determines the lease target equipment and the purchase / purchase target equipment as the calculation target medical equipment, and determines the other medical equipment as the non-calculation target medical equipment. The non-calculated medical equipment may be, for example, hospital equipment such as an operating table or equipment base, or consumables such as gauze or medicine. The equipment handled as the non-calculated medical equipment may be arbitrarily determined according to, for example, a management policy for each hospital.

  There are various methods for realizing the discrimination processing in the discrimination unit 306. For example, the discrimination unit 306 holds a list of medical devices to be calculated in advance, and when the device ID supplied from the selection unit 304 is included in the list, If the medical device is determined as a calculation target medical device and is not included in the list, the medical device may be determined as a non-calculation target medical device.

  Although details will be described later, the contract content database 320 holds the contract content for each medical device. The identification unit 308 determines whether or not the medical device determined as the calculation target medical device is the contract target with reference to the contract content database 320, and determines the contract target medical device and the non-contract target medical device To identify. In this embodiment, a lease contract is concluded for each medical device, and the identification unit 308 identifies the medical device that is the subject of the lease contract as the lease target device, and the medical device that is not the subject of the lease contract. Identified as equipment for sale.

  FIG. 19 is a diagram showing an example of the data structure of the contract content database 320 of FIG. The contract ID column 360 holds a contract ID for identifying a contract. The contract form column 361 holds information indicating the form of the contract such as “lease” and “purchase”, for example. The instrument name column 362 holds the name of the medical instrument to be contracted. The equipment ID column 363 holds the equipment ID of the medical equipment to be contracted. The number column 364 holds the number of medical devices to be contracted. The maintenance flag column 365 holds information indicating whether or not maintenance of medical equipment needs to be performed on the user side, that is, on the hospital side. In this figure, “1” indicates that maintenance is required on the hospital side, and “0” indicates that maintenance is not required on the hospital side. Although details will be described later, by referring to the maintenance flag, it is possible to determine whether there is a related work caused by the use of the medical device, so it is possible to determine whether there is a cost caused by the related work.

  In another example, the contract content database 320 may hold information indicating the presence / absence of discard processing. That is, the contract content database 320 not only retains the contract content, but also retains information for determining whether there is a necessary cost for related work that occurs with the use of the medical device to be contracted. In the present embodiment, a contract is concluded for each medical device, and information indicating the contract content is held as a record for each contract. For example, the contract ID “003” indicates that 20 “gripping forceps A” are leased. In addition, since “1” is held as the maintenance flag, it indicates that the hospital needs to perform maintenance.

  Returning to FIG. 17, the calculation unit 310 calculates the unit price of the medical device that is the contract target for each calculation target medical device and the unit price of the medical device that is not the contract target by using another charge system. The case cost is calculated by adding the unit prices. Since the calculation unit 310 uses the unit price of the medical device to be calculated as a case cost calculation target, the calculation unit 310 calculates the case cost as an approximation rather than a strict cost. Of course, if all the medical equipment used for a specific medical practice is set as the medical equipment to be calculated, it is possible to calculate a strict case cost.

  The calculation unit 310 specifies the unit price of the purchase target equipment with reference to the purchase price data storage unit 326 and specifies the unit price of the rental target equipment with reference to the rental rate data storage unit 328. And the calculating part 310 calculates a case expense by adding the unit price of those medical equipment. In addition, the calculation unit 310 instructs the related cost calculation unit 314 to calculate a related cost generated separately from the usage fee of the medical device by using the calculation target medical device.

  The related cost calculation unit 314 calculates, as a related cost, a cost related to a related work such as cleaning, sterilization, maintenance, and disposal that occurs after using the medical device. The related cost calculation unit 314 outputs the calculated related cost to the calculation unit 310. The calculation unit 310 outputs the related cost and the case cost calculated by the related cost calculation unit 314 to the output unit 312. The output unit 312 displays the case cost and the related cost on, for example, a display unit, prints it, and writes it out to a file.

  The management information storage unit 322 includes an equipment information storage unit 324, a purchase and sale fee data storage unit 326, and a rental fee data storage unit 328. The equipment information storage unit 324 holds information used when calculating costs related to medical equipment such as the name of medical equipment, necessity of maintenance, disposal method, and the like. The sale price data storage unit 326 holds a unit price necessary for using the sale target equipment. The unit price held in the transaction price data storage unit 326 may be, for example, a value obtained by dividing the purchase price of medical equipment by the number of uses scheduled to be discarded, and once for the medical equipment purchased by the hospital. You only have to keep the per-use fee. The rental fee data storage unit 328 holds a unit price necessary for using the rental target equipment. The unit price held in the rental fee data storage unit 328 holds the usage fee for each medical device determined in the rental agreement. In another example, a contract other than a lease contract may be concluded, and the management information storage unit 322 may hold a usage fee for each medical device according to such contract. In short, the management information storage unit 322 allows the calculation unit 310 to calculate the case cost based on the unit price of the medical equipment that conforms to the predetermined contract conditions and the unit price of the medical equipment that does not conform to the predetermined contract conditions. It is sufficient to hold necessary information.

  20 is a diagram illustrating an example of a data structure of the management information storage unit 322 in FIG. The instrument ID column 370 holds the instrument ID of the medical instrument. The instrument name column 371 holds the name of the medical instrument. The unit price column 372 at the time of trading holds a unit price when the medical device is handled as a trading target device. The rental unit price column 373 holds a unit price when the medical device is handled as a rental target device. The calculation unit 310 in FIG. 17 specifies the unit price of the purchase target equipment with reference to the unit price column 372 at the time of purchase, specifies the unit price of the lease target equipment with reference to the unit price column 373 at the time of lease, and determines the case cost. calculate.

  The maintenance flag column 374 holds information indicating whether or not maintenance is required when using the medical device. In this figure, “1” indicates that maintenance is required, and “0” indicates that maintenance is not required. When maintenance is required, costs are incurred for the maintenance work. The maintenance fee column 375 holds a maintenance fee.

  The calculation unit 310 in FIG. 17 refers to the maintenance flag column 374 and calculates a cost required for maintenance of the medical device when the medical device requiring maintenance is included in the calculation target medical device. 17 related cost calculation unit 314 is instructed. The related cost calculation unit 314 calculates a maintenance cost by referring to the maintenance fee column 375.

  The discard flag column 376 holds information indicating whether or not the medical device can be discarded as non-infectious waste. Waste can be classified into infectious waste and non-infectious waste. Hereinafter, infectious waste is referred to as “medical waste” and non-infectious waste is referred to as “industrial waste”. In this figure, “1” indicates that it can be discarded as industrial waste, and “0” indicates that it cannot be discarded as industrial waste.

The industrial waste unit price column 377 holds a cost necessary for discarding the medical device as industrial waste. The medical waste unit price column 378 holds a cost necessary for discarding the medical equipment as medical waste. Medical waste can be disposed of as industrial waste by performing treatments such as washing, disinfection, and sterilization. In order to perform such cleaning, disinfection, and sterilization, work is required in the hospital. The in-hospital cost column 379 holds costs necessary for cleaning, disinfection, and sterilization. This cost is calculated based on, for example, expenses such as work time, detergents necessary for cleaning, disinfection, and sterilization, and electricity bills.
Generally, the cost required to dispose of medical waste is higher than the cost required to dispose of industrial waste. Medical waste can be disposed of as industrial waste by washing, disinfecting, and sterilizing, so it depends on the cost of washing, disinfecting, and sterilization. Disposal may be cost effective. The disposal flag column 376, the industrial waste unit price column 377, the medical waste unit price column 378, and the in-hospital cost column 379 are used as indexes for determining whether to discard the medical equipment as industrial waste or medical waste. Retained for use.

  The calculation unit 310 in FIG. 17 instructs the related cost calculation unit 314 to calculate the cost necessary for discarding the medical device. The related cost calculation unit 314 refers to the discard flag column 376, and in order to discard medical equipment that can be discarded as industrial waste, the cost necessary for discarding it as medical waste and to discard it as industrial waste. The necessary expenses and the costs incurred in the hospital for cleaning, disinfection and sterilization are calculated as related expenses. The related cost calculation unit 314 uses data held in the industrial waste unit price column 377, the medical waste unit price column 378, and the in-hospital cost column 379 when calculating the related cost.

  The related cost calculation unit 314 calculates a related cost such as a medical device maintenance cost and a disposal cost in accordance with an instruction from the calculation unit 310. When the medical device is a leased medical device, that is, a medical device that conforms to a predetermined contract condition, the related cost calculation unit 314 refers to the contract content database 320 and determines whether or not the hospital needs to perform maintenance or disposal. Determine. For this determination, the related cost calculation unit 314 uses data held in the maintenance flag column 365 of FIG. The related cost calculation unit 314 calculates the related cost when it is necessary to perform maintenance or disposal on the hospital side.

  Contract contents for medical equipment, medical equipment used for each case, and medical equipment to be calculated are different for each hospital. The registration unit 316 accepts records held in the case database 318, the contract content database 320, and the management information storage unit 322 as management information, and appropriately registers them in the case database 318, the contract content database 320, and the management information storage unit 322. . The registration unit 316 may accept management information via an input device such as a keyboard or a mouse, or may accept management information from a server via a network. The acquisition route of management information is arbitrary. In short, the registration unit 316 may be configured to update each data held in the case database 318, the contract content database 320, and the management information storage unit 322, and to customize for each hospital. Thereby, the cost for every medical practice can be calculated for every hospital.

  The medical device management apparatus 300 can not only calculate the case cost but also present the related cost generated in relation to the case to the user. Thereby, the user can clearly grasp the cost generated for each medical practice, and can clarify the point that was unclear in the hospital management.

  FIG. 21 is a diagram illustrating an example of a display screen displayed on the display unit by the output unit 312 of FIG. The case input area 332 is an area for inputting a case. In this figure, it is formed so that a case can be selected from a combo box. The equipment list area 334 displays a list of medical equipment associated with cases input to the case input area 332. In the contract column of this list, characters and marks indicating whether or not the medical equipment has a lease contract are displayed. Maintenance cost is displayed in the maintenance cost column. The disposal cost is displayed in the disposal cost column. Disposal costs are incurred for equipment to be bought and sold. For example, “Endoscope” in this figure is equipment to be leased, so “0 yen” is displayed in the disposal cost column. Further, “gripping forceps C” is a trading target device, and “1000 yen” is displayed in the maintenance cost column. In the disposal cost column, the disposal cost “10000 yen” is displayed in the upper row, and the disposal cost “3000 yen” is disposed in the lower row. The sterilization cost “1000 yen” is displayed. In the cost display area 336, case costs, maintenance costs, and disposal costs are displayed.

  FIG. 22 is a flowchart of processing in the medical device management apparatus 300 of FIG. The input unit 302 of 17 receives an input of a case (S300). The selection unit 304 in FIG. 17 selects a medical device previously associated with the received case (S302). The determination unit 306 in FIG. 17 determines whether the medical device is a calculation target medical device or a non-calculation target medical device (S304). The identifying unit 308 in FIG. 17 identifies the lease target equipment and the trade target equipment included in the calculation target medical equipment (S306). The calculation unit 310 in FIG. 17 specifies the unit price of the rental target equipment and the purchase target equipment (S308).

  In addition, the calculation unit 310 determines whether or not related costs are incurred (S310). When the related cost occurs (Y in S310), the related cost calculation unit 314 in FIG. 17 calculates the related cost (S312). Then, the calculation unit 310 calculates the case cost and the related cost based on the unit price of the medical device and the related cost (S314). When the related cost does not occur (N in S310), the process proceeds to S314. The determination unit 306 determines whether or not all the medical devices associated with the cases received by the input unit 302 have been determined (S316). When discrimination | determination is not performed about all the medical equipment (N of S316), it returns to S304. When all the medical devices are discriminated (Y in S316), the calculation unit 310 outputs the case cost and the related cost (S318).

In the above, the system about the cost calculation per medical treatment was demonstrated using the Example. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to the combination of each component and each processing process, and such modifications are also within the scope of the present invention. . Examples of such modifications include the following.
First Modification The management information storage unit 322 may have a field for registering unit prices for various things, people, and services generated by medical practices such as a unit price of a doctor and a unit price of a nurse. And the registration part 316 may receive and register those information from a user. The more information that is registered, the more accurate case costs can be calculated.
Second Modification The medical device management apparatus 300 of FIG. 17 may be provided as a server on the network, and the hospital side may access the medical device management apparatus 300 on the network using, for example, a web browser. In this case, the input unit 302, the output unit 312 and the registration unit 316 in FIG. 17 are configured to be communicable according to a communication protocol such as HTTP (Hyper Text Transfer Protocol). Furthermore, the input unit 302, the registration unit 316, and the output unit 312 have a function of providing screen information according to, for example, HTML (Hyper Text Markup Language) to a hospital-side web browser via a network.

In addition, the medical device management apparatus 300 may be shared by a plurality of hospitals. In that case, the input unit 302 and the registration unit 316 preferably have an authentication function. A known technique may be used as the authentication function. In addition, the case database 318, the contract content database 320, and the management information storage unit 322 hold the various types of information described above in association with the hospital ID that identifies the hospital so that the cost can be calculated individually for each hospital. May be. For example, the contract content database 320 described with reference to FIG. 19 further holds a hospital ID associated with each record. Thereby, the medical device management apparatus 300 provided on the network can be used in a plurality of hospitals.
Third Modification Functions included in the medical device management apparatus 300 may be distributed and arranged on a network. For example, the case database 318 may be arranged on a network, and the remaining functions may be realized by a terminal device on the hospital side. Further, at least one of the case database 318, the contract content database 320, and the management information storage unit 322 may be arranged on the hospital network. In short, the case database 318, the contract content database 320, and the various types of information held in the management information storage unit 322 may be appropriately arranged according to management policies such as maintainability and confidentiality.
Fourth Modified Example The medical device management apparatus 300 may further include an ordering unit that places an order with respect to an order receiving device that receives orders for medical equipment provided on a network. For example, the output unit 312 displays an “order button” for further instructing ordering on the display screen 330 described with reference to FIG. When the order button is pressed, the ordering unit orders medical equipment used for calculating the cost from the order receiving device. The ordering unit refers to the contract content database 320 and associates the equipment ID with the contract ID and transmits them to the order receiving device. As a result, the order receiving device can collect the ordered medical equipment, and can specify the unit price of the equipment according to the contract for each hospital and calculate the charge.

(Medical equipment management system)
(Example 5)
Before describing the system related to medical equipment management in detail, an outline is given. In this embodiment, the medical equipment provider ships the medical equipment to the medical institution, and collects at least a part of the shipped medical equipment (hereinafter, the collected medical equipment is referred to as “collection medical equipment”). ) Medical equipment distribution system. Here, as described above, the medical equipment includes the equipment to be bought and sold and the equipment to be rented, and the medical equipment for taking-out generally refers to the equipment to be rented. In addition to the reuse equipment, the lease target equipment may include a predetermined disposable equipment, for example, a disposable equipment scheduled to be discarded by a medical equipment provider.

  At least a part of the medical equipment for collection is equipment to be rented from the medical equipment provider to the medical institution based on a lease contract concluded between the medical equipment provider and the medical institution. In this embodiment, the medical equipment management device provided in the medical equipment provider manages the rental status of the equipment to be rented, and when there is an order for the medical equipment from the medical institution, refer to the rental status. Operate properly. In the present embodiment, the medical equipment providing organization assigns an identification number to the rental target equipment on a part basis, and grasps the distribution status of the rental target equipment on a part basis while referring to the identification number. In the following, there is a case where “medical equipment” and its “parts” are not distinguished, but the description of “medical equipment” when the medical equipment is composed of a plurality of parts is “medical equipment” itself or its “parts”. Is included.

  FIG. 23 is a schematic diagram for explaining a medical device distribution route in the medical device distribution system 400 according to the fifth embodiment of the present invention. The distribution system 400 includes a medical equipment providing organization 402 and a medical institution 404. Here, only the route for transporting the medical device is described as a distribution route between the medical device providing organization 402 and the medical institution 404, but in actuality, the ordering / ordering of the medical device between the medical device providing organization 402 and the medical institution 404 is described. A network such as the Internet for receiving orders also exists as a distribution channel. Further, in the figure, for the sake of explanation, the distribution system 400 is configured to include one medical equipment providing organization 402 and one medical institution 404, but a plurality of medical equipment providing organizations 402 or a plurality of medical institutions 404 are included. May be included.

  The medical equipment providing organization 402 is an organization that provides medical equipment, and corresponds to, for example, a medical equipment manufacturer. The medical institution 404 is an institution serving as a user of medical equipment, and usually corresponds to a hospital. The medical equipment providing organization 402 accepts input of order data regarding a specific medical practice from the medical institution 404 via a network (not shown) (S400). When receiving the order data in the order receiving step S400, the medical equipment providing organization 402 confirms the inventory status of the rental target equipment and procure the necessary medical equipment, details of which will be described later. The medical equipment providing organization 402 packs the medical equipment according to the received order (S402), and ships the packed medical equipment to the medical institution 404 (S404).

  The medical equipment shipped from the medical equipment providing organization 402 is carried into the medical institution 404 (S406). The medical institution 404 uses the carried medical equipment in the operation (S408). The medical device, that is, each component constituting the medical device is contaminated by surgery. Medical equipment after use is disassembled into parts. Among the disassembled parts, the parts included in the medical equipment other than the taking medical equipment are discarded (S414). Usually, a medical waste disposal contractor collects such parts to be disposed of. The parts included in the medical device for take-up are washed (S410) and further sterilized (S412). The sterilized medical equipment may be used again for surgery. The medical device for take-up which has been subjected to such cleaning and sterilization processing is recovered by the medical device providing organization 402 while being disassembled into parts (S416), and is received by the medical device providing organization 402 (S418). In the example of this figure, the example in which the cleaning and sterilization processing of the medical equipment for taking is performed on the medical institution 404 side is shown, but in another example, it may be performed on the medical equipment providing institution 402 side.

  The medical equipment providing organization 402 confirms the contents of the rental target equipment included in the collected medical equipment for transaction (S420). That is, it is confirmed whether or not the rental target equipment that has been rented has been collected. The medical equipment providing organization 402 sterilizes the collected medical equipment for collection again (S422). Among the sterilized take-up medical equipment, disposable equipment is discarded (S426), while among the sterilized take-up medical equipment, reused equipment is inspected as to whether it can be reused or discarded according to the use state of the parts (S424). ). The reuse equipment determined to be discarded by the inspection is discarded (S426). Usually, a medical waste processor or an industrial waste processor collects such medical equipment. The reuse equipment determined to be reusable is stored and stored in a warehouse or the like of the medical equipment provider 402 until it is rented to the medical institution 404 next time.

  FIG. 24 is a configuration diagram of the medical device management apparatus 410 according to the fifth embodiment. Each component of the medical device management apparatus 410 is, in terms of hardware components, a CPU, a memory of any computer, a program that realizes the components shown in the figure loaded in the memory, and a storage such as a hard disk that stores the program. Although it is realized centering on a unit, a network connection interface, etc., it will be understood by those skilled in the art that there are various modifications in the implementation method and apparatus. Each figure to be described below shows functional unit blocks, not hardware unit configurations. The medical equipment management device 410 corresponds to the first device 20 shown in FIG. 1, and the ordering device 406 described later corresponds to the second device 30 shown in FIG.

  The input unit 412 receives input of order data related to a specific medical action from the ordering device 406 of the medical institution 404 via the network 408. The input unit 412 may receive the names of medical devices individually, or may accept case names indicating medical practices such as “laparoscopic cholecystectomy” and “laparoscopic gastrectomy”, for example. At this time, the input unit 412 also accepts a desired delivery date of the ordered medical device. When a case name is input as order data, the selection unit 414 selects medical equipment necessary for the medical action with reference to the case database 430.

  FIG. 25 is a diagram showing an example of the data structure of the case database 430 of FIG. The case database 430 stores necessary medical equipment in association with each case. The case ID column 450 holds information for identifying a case. The case name column 451 holds the name of the case. The classification column 452 holds information indicating the classification of medical equipment. The instrument name column 453 holds the name of the medical instrument. The instrument type ID column 454 holds an instrument type ID that identifies the type of medical instrument. For example, the “laparoscopic cholecystectomy” identified by the case ID “005” is associated with “forceps” such as “endoscope”, “gripping forceps A”, and “peeling forceps A”. As described above, the case database 430 holds information for identifying medical equipment used for each case in association with each other. In addition, although only the case using an endoscope is described in this figure, it is not limited to the case using an endoscope. The case database 430 can hold information regarding various cases.

  Returning to FIG. 24, the selection unit 414 searches the case database 430 using the case name supplied from the input unit 412 as a search key, selects a medical device associated with a predetermined case, and selects the selected medical device. The equipment type ID is output to the determination unit 416. In this way, by associating medical equipment that may be used in each case in advance with each case, cases designated by the user, that is, medical equipment used in medical practice are automatically extracted. And user convenience can be improved.

  The case database 430 may be provided for each medical institution 404 or may be provided for each user such as a doctor. If the doctor who is the orderer wishes to deliver medical equipment not included in the standard medical equipment set stored in the case database 430, the input unit 412 may accept an order for additional medical equipment. .

  The discrimination unit 416 discriminates the lease target equipment from the medical equipment selected by the selection unit 414. There are various methods for realizing the discrimination processing in the discrimination unit 416. For example, the discrimination unit 416 previously holds a list of equipment to be rented and is included in the list among the equipment type IDs supplied from the selection unit 414. A thing may be identified as equipment to be leased. In addition, the determination unit 416 may determine the lease target equipment with reference to the equipment database 432.

  FIG. 26 is a diagram showing an example of the data structure of the equipment database 432 of FIG. The equipment database 432 stores information such as component parts and contract forms for each type of medical equipment. The instrument type ID column 461 holds an instrument type ID that identifies the type of medical instrument. The instrument name column 462 holds the name of the medical instrument. The contract form column 463 holds a contract form when providing medical equipment to the medical institution 404. Specifically, information indicating whether a medical device is provided based on a lease contract or a purchase contract is held. The component part type ID column 464 holds a part type ID for identifying the type of part constituting the medical device.

  Returning to FIG. 24, the determination unit 416 searches the device database 432 using the device type ID of the medical device selected by the selection unit 414 as a search key, determines the rental target device, and outputs the rental object device to the verification unit 418. In addition, the determination unit 416 acquires a part type ID constituting the determined lease target equipment from the equipment database 432 and outputs the acquired part type ID to the verification unit 418.

  The verification unit 418 verifies the inventory status of the rental target equipment determined by the determination unit 416 with reference to the equipment stock database 436 or the parts stock database 438. The verification unit 418 checks the stock status for each component of the rental target equipment, and verifies whether or not the rental to the medical institution 404 is possible.

  FIG. 27 is a diagram showing an example of the data structure of the equipment inventory database 436 in FIG. The instrument ID column 471 holds an instrument ID for identifying a medical instrument that is a target of a lease contract. The instrument type ID column 472 holds an instrument type ID that identifies the type of medical instrument. The instrument name column 473 holds the name of the medical instrument. The status column 474 holds information indicating the stock status of medical equipment. The stock status includes, for example, “Lending” indicating a status of being lent to the medical institution 404 and “Reprocessing” indicating a status of being returned from the medical institution 404 and being subjected to processing such as sterilization or inspection. There are “carrying in” indicating the situation where the inspection is completed and stored in the warehouse, etc., “rental reservation” indicating the situation where the lending is reserved according to the order from the medical institution 404, and the like. Even during lending or reprocessing, a lending reservation column may be provided separately in order to enable lending reservations after the scheduled storage date. The lending destination column 475 holds information on the medical institution 404 that lends medical equipment. The component part ID column 476 holds a part ID for identifying a part constituting the lent medical device. The lending date column 477 holds a date when the medical device is rented to the medical institution 404 or a scheduled lending date. The return date column 478 holds a date when the medical device is returned from the medical institution 404 or a scheduled return date. The warehousing date column 479 holds the date when the medical equipment is warehousing in the warehouse or the scheduled date of warehousing.

  Medical equipment whose status is “stored” can be lent to the medical institution 404. Since the medical device whose status is “reprocessing” can be rented as soon as the reprocessing is completed, the verification unit 418 determines that the medical device if the planned warehousing date is before the desired delivery date. May be determined to be lent to the medical institution 404. The medical device whose status is “lending” is also returned as scheduled and can be rented when the reprocess is completed. Therefore, the verification unit 418 confirms that the scheduled storage date is before the desired delivery date. If there is, it may be determined that the medical device can be lent to the medical institution 404.

  The equipment inventory database 436 shown in FIG. 27 is suitable for grasping the stock status in units of medical equipment, but can grasp the stock status in units of parts by searching using the component part ID column 476 as a search key. Is also possible.

  FIG. 28 is a diagram showing an example of the data structure of the parts inventory database 438 in FIG. The part ID column 481 holds a part ID for identifying a part constituting the medical device. The component type ID column 482 holds a component type ID for identifying the component type. The embeddable device type ID column 483 holds a device type ID for identifying the type of medical device in which the part can be assembled. For example, when the same part can be incorporated in a plurality of medical devices in common, a plurality of device type IDs are held in the installable device type ID column 483. The status column 484 holds information indicating the inventory status of parts. As described above, the inventory status includes “lending”, “reprocessing”, “storage”, “lending reservation”, and the like. The lending destination column 485 holds information on the medical institution 404 that lends the medical equipment incorporating the part. The built-in device ID column 486 holds a device ID for identifying the medical device in which the part is actually incorporated. The lending date column 487 holds a date when the medical device is lent to the medical institution 404 or a scheduled rent date. The return date column 488 holds the date when the medical device is returned from the medical institution 404 or the scheduled return date. The storage date column 489 holds the date when the medical equipment is stored in the warehouse or the scheduled date of storage.

  As in the case of the equipment inventory database 436, parts whose status is “Received” can be rented, and parts whose status is “Reprocessing” or “Lending” have a desired delivery date. Lending may be possible only when it is after the scheduled date of goods receipt.

  The parts inventory database 438 shown in FIG. 28 is suitable for grasping the stock status in units of components, but grasps the stock status in units of medical equipment by searching using the built-in equipment ID column 486 as a search key. It is also possible. The medical instrument management apparatus 410 may include both the instrument inventory database 436 and the parts inventory database 438, or may include either one. When both are provided, for example, parts that can be incorporated into a plurality of medical equipment are managed in parts using the parts inventory database 438, and parts that are incorporated and used only in a single medical equipment are disassembled. Instead of lending them individually, the device inventory database 436 may be used to manage them in units of medical devices.

  Referring back to FIG. 24, the verification unit 418 refers to the equipment inventory database 436 or the parts inventory database 438 and determines whether or not all the parts constituting all the medical equipment to be lent to the medical institution 404 are in a rentable state. And the verification result is output to the response unit 426. The response unit 426 presents the verification result to the user as necessary. For example, when the verification unit 418 outputs a verification result indicating that there are parts that cannot be procured and cannot be lent by the desired delivery date, the response unit 426 presents the fact to the user and changes the order data. It may be accepted.

  The calculation unit 420 calculates the number of lending equipment to the medical institution 404. The comparison unit 422 compares the number of loans calculated by the calculation unit 420 with the number of loan restrictions set based on the lease contract. These configurations are provided when a lease contract in which an upper limit on the number of medical equipment is lent is concluded between the medical equipment provider 402 and the medical institution 404. The contents of the lease contract are stored in the contract content database 434.

  FIG. 29 is a diagram showing an example of the data structure of the contract content database 434 in FIG. The equipment type ID column 491 holds an equipment type ID that identifies the type of medical equipment that is the object of the lease contract. The equipment name column 492 holds the name of the medical equipment that is the object of the lease contract. The total number column 493 holds the total number of medical equipment that is the subject of the lease contract. This total is the total number of equipment to be rented that the medical equipment provider 402 has, and corresponds to the total number of equipment that is being rented, equipment that is being reprocessed such as cleaning and sterilization, and equipment that is being stored in the warehouse. . The total lending number column 494 holds the number of medical equipment currently being lent. The contract content column 495 holds the content of the lease contract for each medical institution 404. Each of the contract contents column 495 includes a medical institution ID column 496 that holds the ID of the medical institution 404, a lending number column 497 that holds the number of medical equipment that is being lent to the medical institution 404, and a lending to the medical institution 404. A lending upper limit number column 498 that holds an upper limit value of the number is provided. In this figure, the upper limit of the number of loans to the medical institution 404 is set as the contents of the lease contract, but other lease periods, charges, additional charges for rent exceeding the loan limit, etc., are determined by the lease contract. It may be set and held in the contract content database 434.

  Returning to FIG. 24, the calculation unit 420 may acquire the number of equipment to be leased to the medical institution 404 with reference to the rental quantity column 497 of the contract content database 434. The comparison unit 422 refers to the lending upper limit number column 498 of the contract content database 434, obtains the upper limit of the lending amount of equipment to be leased to the medical institution 404, and compares it with the lending number calculated by the calculating unit 420. Also good. The response unit 426 responds to the order data based on the comparison result of the comparison unit 422. The response unit 426 may restrict the lending of rental target equipment to the medical institution 404 when the number of lending to the medical institution 404 exceeds the upper limit number of lending to the medical institution 404. Thereby, it is possible to prevent a large number of medical devices from being rented out to a specific medical institution 404 and to appropriately operate a limited total number of medical devices.

  When the number of loans to the medical institution 404 exceeds the maximum number of loans to the medical institution 404, the medical equipment management apparatus 410 may permit further lending by imposing an additional fee. In addition, the medical device management apparatus 410 may notify an administrator or the like to review the lease contract and raise the lending upper limit number when the lending upper limit number is frequently exceeded. Further, the medical device management apparatus 410 may notify an administrator or the like to increase the total number of medical devices when there is a medical device that frequently becomes unrentable due to out of stock. Thereby, it can assist so that rental of equipment for lease can be performed more smoothly.

  When all of the ordered medical equipments can be lent, the management unit 424 updates the contract content database 434, the equipment inventory database 436, and the parts inventory database 438 to reserve the necessary parts for lending. Confirm. Specifically, the management unit 424 changes the status column 474 of the record corresponding to the medical device to be lent out in the equipment inventory database 436 to “rental reservation”, and stores the medical institution 404 of the lent destination in the lent destination column 475. The medical institution ID is recorded, and the component ID of the component to be lent out is recorded in the component ID column 476. Further, the scheduled lending date, scheduled return date, and scheduled storage date are recorded in the rental date column 477, return date column 478, and storage date column 479, respectively. In addition, the management unit 424 changes the status column 484 of the record corresponding to the component to be lent out in the parts inventory database 438 to “rental reservation”, and stores the medical institution ID of the medical institution 404 of the lent destination in the lent destination column 485. Is recorded, and the device ID of the medical device in which the part is incorporated is recorded in the built-in device ID column 486. Further, the scheduled loan date, scheduled return date, and scheduled storage date are recorded in the loan date column 487, return date column 488, and storage date column 489, respectively. Further, the management unit 424 adds 1 to the lending number total column 494 of the record corresponding to the medical equipment to be lent in the contract content database 434, and adds it to the lending number column 497 of the contract content column 495 of the lending destination medical institution. Add one. When the order is confirmed, the output unit 428 outputs the contents of medical equipment and parts to be lent to the medical institution 404. Specifically, the output unit 428 outputs the equipment ID and component ID of the medical equipment that has been reserved for lending. These pieces of information are used in the packing step S402 in FIG.

  When the packed medical device is shipped to the medical institution 404, the management unit 424 changes the status column 474 and the status column 484 of the corresponding records in the device inventory database 436 and the parts inventory database 438 to “lending”, The actual loan date is recorded in the loan date column 477 and the loan date column 487.

  When the medical device is returned from the medical institution 404, the management unit 424 changes the status column 474 and the status column 484 of the corresponding records in the device inventory database 436 and the parts inventory database 438 to “reprocessing”, and the lending destination The field 475 and the lending destination field 485 are cleared. The actual return date is recorded in the return date column 478 and the return date column 488. At this time, when the scheduled date of storage is changed, the storage date column 479 and the storage date column 489 are updated.

  When the reprocessing process of the medical device is completed, the management unit 424 changes the status column 474 and the status column 484 of the corresponding records in the device inventory database 436 and the component inventory database 438 to “store”, and the component part ID column 476. And the built-in equipment ID column 486 is cleared. In addition, the actual storage date is recorded in the storage date column 479 and the storage date column 489. At this time, the loan date columns 477 and 487 and the return date columns 478 and 488 may be cleared.

  With the above configuration, the lending status of equipment to be rented can be properly managed, and medical equipment that can be rented can be quickly and accurately identified and kitted reliably in accordance with an order from the medical institution 404. .

  FIG. 30 is a flowchart showing the procedure of the medical device management method of the present embodiment. This procedure corresponds to the details of the order receiving step S400 in FIG. The input unit 412 receives input of order data regarding a specific medical practice from the ordering device 406 via the network 408 (S450). The selection unit 414 selects medical equipment necessary for the medical action in the medical institution 404 (S452). The discriminating unit 416 discriminates leased equipment to be leased out of the selected medical equipment (S454). The verification unit 418 verifies the status of the inventory of the determined rental target equipment (S456). The comparison unit 422 compares the number of medical equipment lending to the medical institution 404 calculated by the calculation unit 420 with the upper limit number of the number of lending to the medical institution 404, and confirms whether or not the upper limit number of lending is exceeded (S458). ). If all necessary medical equipment is in stock and does not exceed the lending limit, the management unit 424 makes a lending reservation (S460), and the response unit 426 responds to the order (S462). The output unit 428 outputs the package contents (S464).

(Distribution management system for medical equipment)
(Example 6)
Before describing the present invention in detail, an outline will be described. In the sixth embodiment of the present invention, the medical equipment providing organization ships the medical equipment to the medical institution and collects at least a part of the shipped medical equipment (hereinafter referred to as “collection medical care”). It is related to the distribution system of medical equipment. Here, as described above, the medical equipment includes the equipment to be bought and sold and the equipment to be rented, and the medical equipment for taking-out usually indicates the equipment to be rented. The lease target equipment may include predetermined disposable equipment, for example, disposable equipment scheduled to be discarded by a medical equipment provider.

  When medical equipment is shipped from a medical equipment provider to a medical institution, medical equipment composed of multiple parts is assembled, but when medical equipment is collected from the medical institution to the medical equipment provider, Medical equipment composed of multiple parts for cleaning performed in a medical institution has been disassembled (hereinafter, “medical equipment” and its “parts” are not distinguished, but medical equipment is composed of multiple parts. In this case, the description of “medical equipment” indicates “medical equipment” and its “parts.” The same applies to disposable equipment and reuse equipment. In this embodiment, the medical equipment providing organization assigns an identification number to the medical equipment for collection in units of parts, and records the identification number when shipping the medical equipment for collection to the medical institution, and further records it. The identification number is compared with the identification number assigned to the part of the collected medical device for collection, and it is confirmed whether the medical device for collection is correctly collected.

  FIG. 31 is a schematic diagram for explaining a medical device distribution path in the medical device distribution system 500 according to the sixth embodiment of the present invention. The distribution system 500 includes a medical equipment providing organization 502 and a medical institution 504. Here, only the route for transporting the medical device is described as the distribution route between the medical device providing organization 502 and the medical institution 504, but in reality, the ordering / ordering of the medical device between the medical device providing organization 502 and the medical institution 504 is described. A network such as the Internet for receiving orders also exists as a distribution channel. The latter will be described later in FIG. Further, in the figure, for the purpose of explanation, the distribution system 500 is configured to include one medical equipment providing organization 502 and one medical institution 504. Usually, a plurality of medical equipment providing organizations 502 are used to distribute the distribution system. The entire 500 is configured.

  The medical equipment providing organization 502 is an organization that provides medical equipment, for example, a medical equipment manufacturer. The medical institution 504 is an institution serving as a user of medical equipment, and usually corresponds to a hospital.

  The medical equipment providing organization 502 receives an order for medical equipment to be delivered from the medical institution 504 to the medical institution 504 via a network (not shown) (S500). The medical equipment providing organization 502 packs the medical equipment according to the received order (S502). Further, the medical equipment providing organization 502 ships the packed medical equipment to the medical institution 504 (S504).

  The medical equipment shipped from the medical equipment providing organization 502 is carried into the medical institution 504 (S506). The medical institution 504 uses the carried medical equipment in the operation (S508). The medical device, that is, each component constituting the medical device is contaminated by surgery. Medical equipment after use is disassembled into parts. Among the disassembled parts, the parts included in the medical equipment other than the taking medical equipment are discarded (S514). Usually, a medical waste disposal contractor collects such parts to be disposed of. The parts included in the medical device for taking over are washed (S510) and further sterilized (S512). Although the sterilized medical equipment may be used again for the operation, the description is omitted here for the sake of simplicity. The medical device for take-up that has been subjected to such cleaning and sterilization processing is recovered by the medical device providing organization 502 while being disassembled into parts (S516), and is received by the medical device providing organization 502 (S518).

  The medical equipment provider 502 confirms whether the collected medical equipment for transaction is the medical equipment for transaction to be collected (S520). That is, it is confirmed whether there is a shortage of collected medical equipment for collection or whether unnecessary medical equipment is included in the collected medical equipment for collection. The medical equipment providing organization 502 sterilizes the collected medical equipment for collection again (S522). Of the sterilized take-up medical equipment, the disposable equipment is discarded (S526). On the other hand, among the sterilized take-up medical equipment, the reuse equipment is inspected as to whether it can be reused or should be discarded (S524). ). The reuse equipment determined to be discarded by the inspection is discarded (S526). Usually, a medical waste processor or an industrial waste processor collects such medical equipment. The description of the subsequent processing relating to the reuse equipment determined to be reusable will be omitted.

  FIG. 32 shows a configuration of the management apparatus 506 according to the sixth embodiment of the present invention. The management device 506 includes an order data input unit 516, a medical device determination unit 518, a take-up device specification unit 520, an identification information input unit 522, an input interface 524, a packing device determination unit 526, an equipment data storage unit 512, and an identification information storage unit 514. including. FIG. 32 shows devices and networks that should exist as distribution channels between the medical equipment providing organization 502 and the medical institution 504 of FIG. The management device 506 corresponds to the first device 20 shown in FIG. 1, and the ordering device 508 described later corresponds to the second device 30 shown in FIG. The management apparatus 506 is included in the medical equipment providing institution 502 of FIG. 1 and communicates with the ordering apparatus 508 of the medical institution 504 of FIG. Here, FIG. 32 describes a part necessary for the order receiving process (S500) of FIG.

  The ordering device 508 is a terminal device that is operated when the medical institution 504 orders medical equipment from the medical equipment providing organization 502, for example, a PC (personal computer). The orderer of the medical institution 504 orders medical equipment according to the contents displayed on a display device (not shown) of the ordering device 508. Here, the medical device is not ordered alone, but is ordered in units of cases, for example, laparoscopic cholecystectomy and gastrectomy.

  The order data input unit 516 inputs an instruction for an order made by the ordering device 508 via the network 510.

  The instrument data storage unit 512 stores data related to medical instruments according to the ordered case. FIG. 33 shows the data structure of medical instrument data stored in the instrument data storage unit 512. Here, as an example, data on medical equipment corresponding to laparoscopic cholecystectomy is shown. “Product name” indicates the name of the medical device, but indicates that the reuse device and the disposable device are not classified. “Part name” indicates the name of a part when the medical device indicated by “Product name” is composed of a plurality of parts. “Necessity of taking” indicates whether a corresponding medical device or a part of the medical device is a medical device to be collected, that is, a take-up medical device. “Weight” indicates the weight of the corresponding medical device or part of the medical device.

  Returning to FIG. The medical device determination unit 518 selects a medical device corresponding to the ordered case from the device data storage unit 512. The take-out device specifying unit 520 specifies the take-up medical device from the medical devices selected by the medical device determining unit 518. That is, the medical device or the medical device component in which “necessity of transaction” in FIG. 33 is “necessary” is specified.

  The identification information input unit 522 receives an identification number given to the medical device for collection itself to be shipped to the medical institution 504 from the provider of the medical equipment providing organization 502 via the input interface 524. Further, the received identification number is stored in the identification information storage unit 514 after being associated with the product name or part name of the medical device for taking over. FIG. 34 shows the data structure of medical device identification information stored in the identification information storage unit 514. “Product name” and “Part name” are the same as those in FIG. The “identification number” indicates an identification number that is assigned to the corresponding medical device itself or the medical device component itself and is input via the input interface 524. The “scheduled take-off date” indicates a scheduled date for taking the medical device itself or the medical device part itself corresponding from the medical institution 504.

  Here, in order to illustrate the identification information given to the parts of the medical device, FIG. 35 shows the configuration of the scissors forceps that circulates in the medical device distribution system 500. The scissors forceps includes a handle 528, a scissor unit 530, and a sheath 532. As the identification numbers, a handle identification number 534 is assigned to the handle 528, a scissor unit identification number 536 is assigned to the scissor unit 530, and a sheath identification number 538 is assigned to the sheath 532. Here, the handle identification number 534, the scissor unit identification number 536, and the sheath identification number 538 are respectively shown by numerals and symbols, but instead of these, a non-contact tag called RFID (Radio Frequency Identification) May be added as an identification number. The provider recognizes the handle identification number 534, the scissor unit identification number 536, and the sheath identification number 538 directly or as image data by a camera or the like, and then recognizes the handle identification number 534 and the scissor unit identification number 536. The sheath identification number 538 is input to the identification information input unit 522.

  Returning to FIG. The packaging device determination unit 526 determines the medical device to be packed together by collecting the information on the medical device selected by the medical device determination unit 518 and the information on the take-up medical device input by the identification information input unit 522. Further, the process is taken over by the packing process (S502) of FIG.

  FIG. 36 shows a configuration of the management apparatus 506 according to the sixth embodiment of the present invention. The management device 506 includes an input interface 540, an identification information specifying unit 542, an identification information matching unit 544, a take-up device specifying unit 546, a presentation unit 548, and an identification information storage unit 514. The order data input unit 516 is included in the medical equipment providing organization 502 in FIG. Here, FIG. 36 describes a part necessary for the confirmation step (S520) of FIG.

  The identification information specifying unit 542 receives an identification number assigned to the medical device for collection itself collected from the medical institution 504 from the provider via the input interface 540. As described above, since the medical device for collection is disassembled into a plurality of parts in the collected state, the identification information specifying unit 542 specifies the identification number assigned to each component of the medical device for collection. Here, as described above, the provider uses the handle identification number 534, the scissor unit identification number 536, and the sheath identification number 538 shown in FIG. The identification number 534, the scissor unit identification number 536, and the sheath identification number 538 are input to the identification information specifying unit 542.

  The identification information storage unit 514 is the same as the identification information storage unit 514 of FIG. 32, and stores an identification number for the medical instrument for delivery that has been shipped. The identification information collating unit 544 collates the identification number specified by the identification information specifying unit 542 with the identification number stored in the identification information storage unit 514. Based on the result collated by the identification information collating unit 544, the take-out device specifying unit 546 collects the collected medical equipment or parts of the medical equipment to be collected (hereinafter referred to as “collected equipment”). ") And those that have not been recovered (hereinafter referred to as" unrecovered equipment "). The presenting unit 548 presents the uncollected equipment specified by the take-out equipment specifying unit 546 to 504 in FIG. That is, a prompt for sending unrecovered equipment is output to the medical institution 504 via the network 510 of FIG.

  FIG. 37 is a flowchart showing the procedure of the confirmation process by the management apparatus 506. The provider inputs the identification number of the medical device for collection collected via the input interface 540 in units of parts (S530), and the identification information specifying unit 542 specifies the input identification number. The identification information collation unit 544 acquires the identification number corresponding to the collected medical equipment for collection and stored in the identification information storage unit 514 (S532). The identification information collation unit 544 and the take-up device identification unit 546 collate the identification number identified by the identification information identification unit 542 with the identification number acquired from the identification information storage unit 514 to confirm whether there is a mismatched identification number. (S534). If there is no mismatched identification number (Y in S534), the management device 506 ends the confirmation process (S536). Further, the provider proceeds to the processing after the sterilization step (S522) in FIG. On the other hand, if there is a mismatch identification number (N in S534), the presentation unit 548 presents that fact to the medical institution 504 in FIG. 31 (S538).

  According to the embodiment of the present invention, an identification number is assigned to each component constituting the medical device for taking-up, and the medical device provider confirms the identification number of the component unit when collecting the medical device for taking-out. Therefore, it is possible to confirm whether or not the collection medical device is correctly collected even if it is disassembled into parts by medical institutions. In addition, since the medical equipment for collection includes disposable equipment and is collected and then discarded by the medical equipment provider, it can be disposed of as industrial waste at a lower disposal cost than medical waste. The provider can provide medical institutions with low cost and highly convenient services.

(Example 7)
Example 7 of the present invention relates to a distribution system for medical equipment as in Example 6. Similar to the sixth embodiment, the medical equipment providing organization accepts an order of medical equipment from a medical institution on a case-by-case basis, and ships a plurality of medical equipment in a package according to the accepted case. However, the medical equipment provider according to the seventh embodiment gives an identification number to the package. When the medical equipment provider collects the package containing the medical equipment for collection from the medical institution, the identification number assigned to the collected package is compared with the identification number assigned to the shipped package. To check.

  Example 7 relates to the management apparatus 506 of the type shown in FIG. 32 in the ordering step (S500) of FIG. However, the identification number stored in the identification information storage unit 514 is not a unit of components constituting the medical device in FIG. 32 but a case unit as described above. FIG. 38 shows a data structure of package identification information stored in the identification information storage unit 514 according to the seventh embodiment of the present invention. “Case name” indicates one package including a plurality of medical devices. The “identification number” indicates an identification number assigned to the corresponding package and input via the input interface 524. The “scheduled take-off date” is the same as in FIG.

  Example 7 relates to the management apparatus 506 of the type shown in FIG. 36 in the confirmation step (S520) of FIG. However, the identification number specified by the identification information specifying unit 542 is an identification number assigned to the collected package. Further, as described above, the identification number stored in the identification information storage unit 514 is the identification number assigned to the package, and the identification information collating unit 544 and the take-up device specifying unit 546 use the identification number assigned to the package. Check to see if the shipped package has been collected.

  According to the embodiment of the present invention, an identification number is assigned in units of packages including a plurality of taking medical devices, and the medical device providing organization assigns an identification number for each package when collecting the collecting medical devices. Since confirmation is performed, it is possible to easily and quickly confirm the collected medical equipment for collection.

(Example 8)
The eighth embodiment of the present invention relates to a distribution system for medical equipment as in the previous embodiments. As in the previous embodiments, the medical equipment provider accepts orders for medical equipment from medical institutions on a case-by-case basis, and ships a plurality of medical equipment in packages according to the accepted cases. Further, as in the seventh embodiment, an identification number is assigned to the package. Furthermore, the medical equipment provision organization according to Embodiment 8 stores the weight of the medical equipment for taking out of the package before shipping. When the package including the medical device for collection is collected from the medical institution, the identification number given to the collected package is compared with the identification number given to the shipped package to confirm whether or not the package has been collected. Further, the weight of the collected package is compared with the weight before shipment, and it is confirmed whether or not the collection medical device included in the package has been collected.

  FIG. 39 shows the configuration of the management apparatus 506 according to the eighth embodiment of the present invention. The management device 506 adds a weight calculation unit 550 to the management device 506 of FIG.

  The weight calculation unit 550 calculates the weight corresponding to one package by adding the weight of the medical device for take-out specified by the take-out device specifying unit 520, that is, the weight included in the medical device data shown in FIG. . Here, if the taking medical device is a reuse device, the weight calculation unit 550 calculates the total of the reuse devices. The weight calculated by the weight calculation unit 550 is output to the identification information input unit 522 and further stored in the identification information storage unit 514. FIG. 40 shows the data structure of package identification information stored in the identification information storage unit 514. Similarly to FIG. 38 according to the seventh embodiment, the “case name”, “identification number”, and “pickup date” are included, and “weight” calculated by the weight calculation unit 550 is also included.

  FIG. 41 shows the configuration of the management apparatus 506 according to the eighth embodiment of the present invention. The management device 506 adds a weight input unit 552, a weight verification unit 554, and a component recording unit 556 to the management device 506 in FIG.

  Similar to the seventh embodiment, the provider inputs the identification number of the collected package via the input interface 540, and the identification information specifying unit 542 specifies the identification number assigned to the collected package. The identification information storage unit 514 and the identification information collation unit 544 are the same as those in the seventh embodiment. Further, the provider inputs the weight of the collected package to the weight input unit 552 through the input interface 540.

  The weight verification unit 554 compares the input package weight with the package weight stored in the input interface 524. The take-out device specifying unit 546 confirms whether or not the shipped package has been collected based on the result of collating the identification number given to the package in the identification information collating unit 544 as in the seventh embodiment. Further, when the shipped package has been collected, it is confirmed based on the result of comparing the weight of the package in the weight verification unit 554 whether or not the medical equipment for collection included in the package is available. At that time, since the collected packages are generally covered with moisture etc., the weight of the collected packages is more than that of the shipped packages even if the same collection medical equipment as the shipped packages is included. It is getting heavy. Here, a predetermined error range is set for the weight of the shipped package, and if the collected package weight is within the error range, it is determined that the medical devices for collection included in the package are prepared.

  The presenting unit 548 presents the uncollected medical device confirmed by the take-out device specifying unit 546 to 504 in FIG. Further, the uncollected equipment is stored in the component recording unit 556.

  FIG. 42 is a flowchart illustrating the procedure of the confirmation process performed by the management apparatus 506. The provider inputs the identification number of the medical device for collection collected through the input interface 540 for each package (S540), and the identification information specifying unit 542 specifies the input identification number. In addition, the provider inputs the weight of the package collected through the input interface 540 to the identification information input unit 522 (S542). The identification information matching unit 544 acquires the identification number (S544) and the weight corresponding to the collected package and stored in the identification information storage unit 514 (S546). The identification information collation unit 544 and the take-up device identification unit 546 collate the identification number identified by the identification information identification unit 542 with the identification number acquired from the identification information storage unit 514 to confirm whether there is a mismatched identification number. (S548).

  When there is no mismatched identification number (N in S534), the weight collating unit 554 and the take-up device specifying unit 546 collate the weight input to the weight input unit 552 and the weight acquired from the identification information storage unit 514. (S550). If the weights coincide with each other including the error range (Y in S550), the management device 506 ends the confirmation process (S552). Further, the provider proceeds to the processing after the sterilization step (S522) in FIG. On the other hand, if there is a mismatch identification number (Y in S548) or if the weights do not match (N in S550), the presentation unit 548 presents that fact to the medical institution 504 in FIG. 31 (S554). And stored in the component recording unit 556.

  According to the embodiment of the present invention, an identification number is assigned for each package unit including a plurality of medical devices for collection, and the medical device provider confirms the identification number for each package when collecting the medical devices for collection. In addition, since the difference in weight between the time of shipment and the time of collection is compared, it is possible to discover a shortage of medical devices for collection that should be included in the collected package. In addition, by combining the assignment of the identification number for each package and the weight of the package, it is possible to quickly and accurately find the shortage of medical devices for collection that should be included in the collected package.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

It is a figure which shows the whole structure of a medical device management system. It is a figure which shows the flow of the whole medical device management system which concerns on Embodiment 1. FIG. It is a figure which shows the flow of the whole medical equipment management system which concerns on Embodiment 2. FIG. It is a functional block diagram which shows the basic composition of the management system installed in the provider and provision destination of a medical device. It is a functional block diagram which shows the basic composition of a medical institution management system. It is a figure which shows the outline of the whole flow from ordering of medical equipment between a medical institution and a medical equipment provision organization to charge. It is a figure which shows the process regarding the contract conclusion between a medical institution management system and a medical equipment management system, and the flow of data. It is a figure which shows the process regarding the contract performance confirmation between a medical institution management system and a medical equipment management system, and the flow of data. It is a figure which shows the content of the equipment table typically. It is a figure which shows the content of a contract table typically. It is a schematic diagram for demonstrating the distribution path | route of the component of the medical device in the recycling system of a medical device. It is a functional block diagram of the components information terminal provided to components. It is a functional block diagram of a medical device management apparatus. It is a figure which shows the data structure of a component data storage part. It is a flowchart which shows the process of determining reuse of components by the frequency | count of use. It is a flowchart which shows the process in which reuse of components is determined at the point of use. It is a lineblock diagram of a medical equipment management device concerning an embodiment. It is a figure which shows an example of the data structure of the case database of FIG. It is a figure which shows an example of the data structure of the contract content database of FIG. It is a figure which shows an example of the data structure of the management information storage part of FIG. It is a figure which shows an example of the display screen displayed on the display part by the output part of FIG. It is a flowchart of the process in the medical device management apparatus of FIG. It is a schematic diagram for demonstrating the distribution path | route of the medical device in the distribution system of the medical device which concerns on embodiment. It is a lineblock diagram of a medical equipment management device concerning an embodiment. It is a figure which shows an example of the data structure of the case database of FIG. It is a figure which shows an example of the data structure of the equipment database of FIG. It is a figure which shows an example of the data structure of the equipment inventory database of FIG. It is a figure which shows an example of the data structure of the components inventory database of FIG. It is a figure which shows an example of the data structure of the contract content database of FIG. It is a flowchart which shows the procedure of the medical device management method which concerns on embodiment. It is a schematic diagram for demonstrating the distribution path | route of the medical device in the distribution system of a medical device. It is a figure which shows the structure of the management apparatus which concerns on Example 6 of this invention. It is a figure which shows the data structure of the medical equipment data memorize | stored in the equipment data storage part of FIG. It is a figure which shows the data structure of the identification information of the apparatus memorize | stored in the identification information storage part of FIG. It is a figure which shows the structure of the scissors forceps which distribute | circulates with the distribution system of the medical device of FIG. It is a figure which shows the structure of the management apparatus which concerns on Example 6 of this invention. It is a flowchart which shows the procedure of the confirmation process by the management apparatus of FIG. It is a figure which shows the data structure of the identification information of the package memorize | stored in the identification information storage part which concerns on Example 7 of this invention. It is a figure which shows the structure of the management apparatus which concerns on Example 8 of this invention. It is a figure which shows the data structure of the identification information of the package memorize | stored in the identification information storage part of FIG. It is a figure which shows the structure of the management apparatus which concerns on Example 8 of this invention. It is a flowchart which shows the procedure of the confirmation process by the management apparatus of FIG.

Explanation of symbols

  10 medical device management system, 20 first device, 30 second device, 40 third device, 50 network, 60 database.

Claims (11)

A first device that supports the provision of medical equipment to a medical institution, a second device that manages the use of medical equipment on the medical institution side, and a third that manages the reuse processing of medical equipment used in the medical institution With the device,
The first device specifies the information for mixing the equipment to be purchased and leased and the equipment to be leased, which is the medical equipment used for the medical practice in a medical institution, and tailoring it into a kit based on the clinical practice,
When the medical device included in the kit is actually used in a medical practice, the second device records the fact of use in association with the medical device used before and after the use.
The third device records at least one of a process of cleaning and re-sterilizing at least the leased equipment among the used medical equipment and a process of performing maintenance.
A medical device management system characterized in that the first device manages the circulation status of medical devices after acquiring the contents of the records by the second device and the third device.   2. The system according to claim 1, wherein the second device further notifies the first device of a schedule of a medical practice to be performed in a medical institution, and the first device is a medical device that constitutes the kit based on the schedule. A medical equipment management system characterized by specifying   The system according to claim 1, wherein the first device transmits the contents of a standard medical equipment kit to the second device for each medical practice, and the second device can select and modify the transmitted contents from the user. A medical equipment management system characterized by displaying.   The system according to claim 1, wherein the third device compares an attribute value that specifies a reuse status of each part of the leased equipment that is input into the process with a predetermined allowable value, and determines whether or not to allow further reuse. A medical equipment management system characterized by a unit determination.   The medical device management system according to claim 1, wherein the first device calculates a usage state of the medical device by each medical institution from information included in the second device, and executes a billing process. A first device that supports the provision of medical equipment to a medical institution, a second device that manages the use of medical equipment on the medical institution side, and a third that manages the reuse processing of medical equipment used in the medical institution A method of managing medical equipment using a device,
In the first device, a step of specifying information for making a kit based on a medical practice by mixing the equipment to be purchased and leased, which is a medical equipment used for a medical practice in a medical institution,
In the second device, when the medical device included in the kit is actually used in a medical practice, before and after the use, recording the fact of use in association with the used medical device;
In the third device, recording progress of a process of cleaning and re-sterilizing leased equipment among the used medical equipment;
The first device acquires the contents of the recording by the second device and the third device, and then manages the circulation status of the medical device;
A medical device management method comprising: A registration step for registering medical equipment in the inventory database;
An order receiving step for accepting an order for medical equipment from a medical institution as a unit of medical practice and writing it to an order receiving database;
A shipping instruction step for referring to the inventory database and outputting instructions for shipping the ordered medical equipment into kits based on medical practice;
A reuse management step of recording when the leased equipment is reused after at least the leased equipment is used and collected among the medical equipment included in the kit in a medical institution;
A re-registration step of re-registering the leased equipment in which the re-use process has been recorded as medical equipment that can be put into the kit in the inventory database;
A medical device management method comprising: The method of claim 7, wherein
When the medical device included in the kit is used in a medical institution, before and after its use, a use confirmation step for recording the fact of use in association with the used medical device;
An unrecovered equipment detection step for detecting equipment that is leased out of medical equipment in which the fact of use has been recorded and whose collection has been delayed,
A medical device management method, further comprising: The method of claim 7, wherein
In the reuse process, the rental object equipment disassembled into parts is washed, dried and sterilized, and then the parts are assembled to regenerate the rental object equipment.
The method further includes a step of detecting an attribute value that specifies a reuse status for each part, and a step of comparing the detected attribute value with a predetermined allowable value to determine whether the reuse is permitted on a part-by-part basis. A medical device management method characterized by the above. A first device that supports the provision of medical equipment to a medical institution, and a second device that manages the use of medical equipment on a specific medical institution side,
The second apparatus includes order data input means for inputting order data relating to a specific medical institution,
The first device is a medical device discriminating unit that discriminates a medical device necessary for a specific medical practice based on the order data input from the second device;
Order data management means for managing the medical equipment identified by the medical equipment discrimination means in association with the order data;
Management information giving means for giving management information managed by the order data management unit to medical equipment corresponding to the specific medical institution shipped to the specific medical institution;
A collation means upon delivery for collating the medical equipment delivered to the medical institution with the management information managed by the order data management device;
After carrying out the specific medical practice at the specific medical institution, a collation unit at the time of unloading that collates the medical equipment carried out from the medical institution with the management information managed by the order data management unit;
A medical equipment management system comprising: A method of managing medical equipment using a first device that supports the provision of medical equipment to a medical institution and a second device that manages the use of medical equipment on a specific medical institution side,
Inputting order data relating to a specific medical institution from the second device;
A medical device discrimination step in which the first device discriminates a medical device necessary for the specific medical action based on the order data input from the second device;
An order data management step in which the medical device determined in the medical device determination step is associated with the order data and managed in the first device;
Management information giving step for giving management information managed in the order data management step to medical equipment corresponding to the specific medical institution shipped to the specific medical institution;
In the first device, a collation step upon delivery for collating the medical equipment delivered to the medical institution with the management information managed by the order data management device;
In the first apparatus, after carrying out the specific medical practice at the specific medical institution, the medical equipment to be carried out from the medical institution is checked against management information managed by the order data management means A matching step;
A medical device management method comprising:

Images