JP2006068359A - Medical material storage management device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical material storage management device for easily and accurately taking in/out a medical material and automatically and accurately grasping the situation of storage. <P>SOLUTION: The storage space in a shelf 60 for arranging and storing medical materials is divided by partition members 65, and a medical material detection member 63 and a take-out guide member 62 are disposed in each divided section on the shelf. The partition members 65 can be removed from recesses 61 formed on the shelf 60. A medical material nameplate 67, which is moved upward/downward according to the take-in/out of the medical material, is attached to each partition member 65, and the upward/downward movement of the medical material nameplate 67 is detected by the medical material detection member 63. With this structure, medical materials of various sizes can be stored in such a way as can be clearly discriminated, and such medical materials as inappropriate for the direct detection can be accurately detected, so that the storage can be automatically managed. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a medical material storage management device that stores medical materials side by side and also manages the storage state, and more particularly relates to a medical material storage management device that automatically manages the presence / absence of medical materials in each storage location and also provides extraction guidance. .

  A medicine storage device has been developed in which a medicine such as an ampule-filled medicine can be put in the hand with one operation, the medicine can be returned without disturbing the lineup, and the storage status can be grasped accurately (for example, see Patent Document 1). ). This medicine storage device comprises a large number of cassettes for storing and storing chemicals and supporting means for holding these cassettes side by side, and each cassette can be pushed in addition to extracting the chemicals. The inlet / outlet is formed, and biasing means for biasing the stored chemicals toward the inlet / outlet is provided, and the support means is a shelf that holds the cassettes in multiple stages or in multiple rows with the inlet / outlet exposed. In addition to the section, a counting means for obtaining the number of medicines stored in each cassette is provided. In addition, in this medicine storage device, in order to perform accurate medicine management with real-time output, printers, storage media, communication devices, etc. that output medicine management data according to the loading and unloading of medicines to and from the cassette An output means and an information processing means for performing an aggregation process, a monitoring process, a confirmation process, an inventory management process and the like based on the output data are also provided.

  Prior to the development and provision of such a medicine storage device, in a medical field such as an operating room, by setting a medicine such as an injection prior to a procedure such as an operation, that is, appropriately arranging and preparing, The treatment is made easy, but since there should not be a shortage of medicine during the treatment, prepare extra medicine, and after the treatment is finished, return the surplus medicine to the pharmacy etc. Counted chemicals used. The work was mainly performed by nurses and other medical assistants / direct medical workers, and was carried out in such a manner that they were caught in a waste container such as a bucket. In many cases, it was their duty to fill in the chemical management forms or enter the chemical inventory management computer system in the chemical management form. For this reason, those who have been engaged in medical procedures such as surgery that require tension must continue to carry out different management duties even after the end of the direct action, so it is not easy to be released from tension. It was heavy both physically and mentally. Further, if the ampules or the like of the injection medicine are broken or the syringes are mixed in, the operation becomes more difficult and painful.

On the other hand, in addition to the fact that the above-described drug storage device has been put into practical use, the work burden on such direct medical workers has been reduced, and the following advantages are also obtained.
In other words, fair and fair information management and information systems are possible. Reproducibility can be easily secured. Computer management saves labor and effort, improves management quality, and increases reliability. It is possible to secure an appropriate inventory by counting usage, reducing defective inventory and contributing to hospital management. Since the degree of freedom of arrangement layout in the space in the apparatus is high, it is easy to handle and the work efficiency is improved. Management data entry / aggregation can be automated, reducing input errors and operational labor costs. The medical site has a simple configuration suitable for a suitable manual work mode, so that maintenance costs are low, it is easy to understand how to use, deep system knowledge and high level of skill are not required, and there are few erroneous operations.

  In addition, it is assumed that a medicine set has been implemented in the take-out action, and if there is a return action, the implementation of the medicine set etc. is canceled and is not implemented. No input is required and there are no input or human errors. All operations of take-out, return, inspection, and replenishment can be performed quickly. Since it is possible to confirm in real time the order of taking out and the combination of taken out chemicals, it contributes to medical accident prevention, error prevention, risk management, and so-called near-miss measures. Since chemicals are stored separately in each cassette, it is easy to check and confirm when replenishing products are inspected at the time of replenishment or when returning materials are inspected at the time of return. Since aggregation is performed in real time without a time lag, a series of movements in operations such as drug setting can be confirmed without data input. Checking the expiration date of medicines and creating a list of patient medicines can be done automatically.

JP 2001-198194 A

As such excellent medicine storage devices have become widespread, there has been an expectation that medical materials other than drugs will be stored and managed accurately with devices having similar advantages. In addition, it has been desired to provide a medical material storage management apparatus that can easily and accurately insert and remove medical materials and that can automatically and accurately grasp the storage status.
However, since medical materials include consumables and sterilization materials, and still contain a wide variety of materials, excluding drugs, medical instruments, and equipment, the method of arranging and storing them in cassettes is followed. difficult.

  For example, medical materials include many expensive materials such as catheters, tubes, bone defect replacement plates, artificial joints, pacemakers, etc., and their shapes are boxed, packed in bags, or single items. , Kit packaging and so on. In addition, in the case of medical materials, the amount used is also diverse, ranging from the use of many of the same material to the use of a small variety of products. In addition, there are various operating locations such as operating rooms with a cleanliness class of 1000 or higher, central treatment rooms, emergency treatment rooms, and less wards. In addition, medical materials are required to be hygienic and safe. In particular, sterilized materials are washed in the front room of the operating room, but sterilization methods are also EO gas sterilization / ultraviolet irradiation sterilization / boil sterilization. / Various things such as steam sterilization are mentioned. Moreover, each sterilization method has an expiration date for the sterilization effect, and the period is different.

  Therefore, such a wide variety of medical materials are stored side by side so that they can be easily put in and out without being stored in a cassette, and whether or not they are stored for each medical material for automatic management even in such a storage state. It is important to take measures to prevent the stored medical materials from collapsing and becoming messy so that the storage location of the medical materials to be taken out can be properly guided for accurate detection and removal. It becomes a difficult task. And when implementing the prevention measures, in consideration of the characteristics of medical materials, we will try to simplify the structure of the device, and devise to accommodate a wide range of medical materials that can be a simple device. It is a technical challenge to elaborate.

  The medical material storage management device of the present invention (Solution means 1) was created to solve such a problem, and is inserted into a partition member so as to partition and place a large number of medical materials so that they can be taken out. A shelf in which dents are formed in rows, a partition member that is detachably attached to the dents, and a row of the dents arranged in an alternating manner with the dents in the row direction of the dents. A medical material detection member that detects whether or not a medical material is placed at a corresponding location, and a visual extraction guide member that is arranged on the shelf in an arrangement state that alternates with the dent in a row direction of the dent, A medical material storage management device comprising: a control device that performs a management process of a medical material storage state based on detection by the medical material detection member and operates any of the extraction guide members in response to an input of an extraction instruction The partition A medical nameplate for visual recognition is attached to the material via a connecting member, and the connecting member moves up and down depending on whether or not the medical material is placed by interfering with the medical material of the corresponding part, The medical material nameplate is located on the medical material take-out side at the corresponding location and interlocks with the connecting member, and the medical material detection member detects whether or not the medical material is placed by detecting the upper and lower sides of the medical material nameplate. It is characterized by being performed indirectly.

  The medical material storage management apparatus according to the present invention is (the solution means 2), which is the medical material storage management apparatus according to the above solution means 1, and corresponds to the medical material nameplate being placed on the medical material at the corresponding location. When it is raised, it is positioned above the corresponding one of the extraction guide members, and when it is lowered in response to the removal of the medical material from the corresponding position, the corresponding one of the extraction guide members It is characterized by hindering visual recognition.

  Furthermore, the medical material storage management device according to the present invention is (the solution means 3), the medical material storage management device of the above solution means 1 and 2, wherein the control device is in a state where the partition member is inserted into the recess. The medical material detection member and the extraction guide member which are supposed to be located on both sides of the recess from which the partition member is extracted based on the setting are classified into one section. It is characterized by being processed as a whole.

  Further, the medical material storage management device of the present invention (solution means 4) is the medical material storage management device of the above solution means 1 and 2, wherein the partition detection member detects whether or not the partition member is inserted into the recess. And the control device is positioned on both sides of the recess from which the partition member is extracted based on the detection by the partition detection member. It is characterized in that the members are processed together as one section.

  The medical material storage management apparatus according to the present invention is (the solution means 5), the medical material storage management apparatus of the above solution means 3 and 4, wherein the control device is classified into one of the medical material detection members. An alarm is issued when a mismatched state of detection results continues for what is to be processed collectively.

In such a medical material storage management device of the present invention (Solution 1), medical materials are stored side by side on a shelf, but the storage locations are separated by a partition member. Can be arranged and stored easily without being stored in the cassette, and the arrangement of the stored medical materials can be prevented from being messed up.
In addition, the medical material detection member and the extraction guide member are arranged in each divided area on the shelf, so that it is possible to automatically detect the presence or absence of storage for each medical material and to store the medical material to be extracted Can be properly guided.
Furthermore, since the partition member can be removed from the shelf and the insertion site is formed in a recess, a large medical material can be placed on the place where the partition member is removed.

And since a medical material nameplate is attached to such a partition member, it is also provided on the medical material extraction side that is easy to see, so it is possible not only to confirm the name of the medical material to be stored, but also to attach and detach the partition member. The nameplates can be replaced naturally as the size changes.
In addition, when the medical material is taken in and out, the medical material nameplate moves up and down through the connecting member, and the medical material detection member detects the vertical position of the medical material indirectly so that the presence or absence of the medical material is automatically detected. Even if the medical nameplate is in front of the medical material, the presence or absence of the medical material is visually confirmed, and even if the medical material is difficult to stably detect the bottom surface due to the shape or material of the medical material It is indirectly detected through the connecting member and the medical nameplate.

As a result, even a simple device that divides shelves and arranges medical materials can easily store medical materials of various sizes, large and small, and even detect those that are not suitable for direct detection. Can be managed.
Therefore, according to the present invention, it is possible to provide a medical material storage management apparatus in which medical materials can be easily taken in and out and the storage status is automatically and accurately grasped.

  Further, in the medical material storage management apparatus of the present invention (Solution means 2), when the medical material is stored, the extraction guide member becomes visible, and when the medical material is taken out, the extraction guide member is hidden. In addition, the visual confirmation of the presence or absence of the medical material can be performed not only when the medical nameplate moves up and down but also when the extraction guide member is visible or hidden, and the operation state of the extraction guide member is less likely to be mistaken.

Furthermore, in the medical material storage management device of the present invention (solution 3), in addition to the partition member being detachable from the shelf, the state of insertion / removal of the partition member is set and input to the control device. Since the processing of the control device relating to the medical material detection member and the extraction guide member is grouped into one category, a plurality of medical material detection members and extraction guide members are provided at one large medical material. Even if there is, there is no hesitation or inconvenience in handling and management.
As a result, even with a simple device that partitions shelves and arranges medical materials, it is possible to store and automatically manage medical materials of various sizes, large and small, simply by attaching and detaching the partition members and inputting the setting of the information. Can do.

In the medical material storage management apparatus of the present invention (solution 4), the presence or absence of the partition member is automatically detected and reflected in the control content, thereby further improving convenience.
In the medical material storage management apparatus according to the present invention (solution 5), an error state is detected by using the redundancy of the detection result when a plurality of medical material detection members correspond to one category. As a result, it is possible to improve reliability while avoiding an increase in hardware cost.

About the medical material storage management apparatus of such this invention, the specific form for implementing this is demonstrated by the following Examples 1-5.
The embodiment 1 shown in FIGS. 1 to 5 embodies the above-described solving means 1 to 3 and 5 (claims 1 to 3 and 5 at the beginning of the application), and the embodiment 2 shown in FIG. The above-described solution 4 (claim 4 at the beginning of the application) is embodied, and the third embodiment shown in FIG. 7 and the fourth embodiment shown in FIG. 8 are shown in FIGS. Example 5 is a modification.
In the drawings, for the sake of simplicity, fasteners such as bolts, coupling tools such as hinges, electronic circuits such as drivers, etc. are omitted, and those necessary and related to the explanation of the invention are omitted. The figure is shown with the center.

  A specific configuration of the medical material storage management apparatus according to the first embodiment of the present invention will be described with reference to the drawings. 1A and 1B show a mechanical structure of a medical material storage management device, where FIG. 1A is a front view of a door closed, FIG. 1B is a front view of a door opened, and FIG. 1C is a shelf and a partition member. FIG. 3D is an external perspective view of the shelf on which the partition member is mounted. 2 shows a schematic structure of the control device, (a) is a schematic block diagram showing a connection relationship between the control device and an extraction guide member, and (b) is a functional block diagram of the control device. Further, FIG. 3 shows a data structure of the control device, where (a) relates to a medical material information table, (b) relates to medical material presence / absence data, and (c) relates to partition presence / absence data.

  The medical material storage management device 20 (see FIGS. 1A and 1B) includes a housing 22 that is mostly a storage unit and a part of the electrical unit 21. The controller 30 stores a power supply unit (not shown) and the like, and a door 24 with a handle 23 is attached to the front surface of the housing portion of the housing 22 so as to be opened and closed. The door 24 may be a shutter or the like, and may be omitted. A shelf 60 is installed inside the storage unit where the door 24 is opened. The shelf 60 may be a single stage, but is usually multistage. The shelf position may also be selectable at an appropriate pitch. The shelf 60 is composed of a horizontally long plate-like body having an upper surface, and on the upper surface, a large number of medical materials are detachably partitioned and placed in a longitudinal direction (left and right in the figure) at a constant pitch or indefinite. A thin plate-like partition member 65 is mounted in a state of being arranged in a pitch.

  On the upper surface of the shelf 60 (see FIGS. 1C and 1D), partition member insertion recesses 61 are formed in two rows at a constant pitch or an indefinite pitch in the longitudinal direction (left and right in the figure). In addition, two insertion / extraction portions 66 project from the lower end portion of each partition member 65. In this example, the insertion / extraction portion 66 is a thin round bar, the recess 61 is a through hole, and the insertion / extraction portion 66 is inserted into the recess 61 so that the partition member 65 is removably inserted into the recess 61 of the shelf 60. It is like that. The partition member 65 is provided with a medical material nameplate 67, a connecting member 68, and a swing support shaft 69 on one side (right side in the example in the figure).

One end of the swing support shaft 69 is fixed to the partition member 65 near the rear side, and one end of the connection member 68 is swingably connected to the other end of the swing support shaft 69, and the connection member 68 extends forward. A medical nameplate 67 is fixed to the other end of the plate. Therefore, when the connecting member 68 is swung, the medical material nameplate 67 moves up and down in conjunction with the connecting member 68 on the medical material take-out side suitable for visual recognition, specifically slightly in front of the front surface of the shelf 60. .
In addition, an extraction guide member 62 and a medical material detection member 63 are provided close to each other on the front surface of the shelf 60 that is visible when the door 24 is opened. These extraction guide member 62 and medical material detection member 63 are provided. Are arranged on the shelf 60 in an arrangement state in which the recesses 61 are alternately arranged in the direction in which the recesses 61 are arranged, that is, in the longitudinal direction of the shelf 60.

  Then, when the partition member 65 is inserted into the recess 61 on the top surface of the shelf 60, if the connecting member 68 and the medical material nameplate 67 are freely swung, they are lowered by their own weight, and the connecting member 68 contacts the top surface of the shelf 60. In contact therewith, the medical material nameplate 67 descends to the front surface of the shelf 60, thereby concealing the extraction guide member 62 and the medical material detection member 63 on the front surface of the shelf 60 (see FIG. 1D). When such a medical material nameplate 67 descends in response to the removal of the medical material from the corresponding location, the medical material nameplate 67 hinders the visual recognition of the corresponding location in the extraction guide member 62.

  On the other hand, when the medical material nameplate 67 is lifted and the medical material 10 is stored on the shelf 60, the connecting member 68 stops on the medical material 10 instead of the shelf 60, so that the medical material nameplate 67 also remains high. . Then, the medical material nameplate 67 is positioned above the extraction guide member 62 at the corresponding location, and the extraction guide member 62 and the medical material detection member 63 on the front surface of the shelf 60 appear to be visible. The medical material detection member 63 provided on the front surface of the shelf 60 is not sensitive to the medical material 10 placed on the shelf 60, but is sensitive to the medical material nameplate 67 that comes immediately before the front surface of the shelf 60. Therefore, as described above, the medical material nameplate 67 moves up and down in response to the storage / removal of the medical material 10 based on the interference between the connecting member 68 and the medical material 10, and the medical material detection member. 63 indirectly detects the presence or absence of the medical material 10 by detecting the upper and lower sides of the medical nameplate 67.

The medical material detection member 63 includes, for example, a mechanical switch, a reflective photo sensor, a capacitance sensor, and the like in order to detect the medical material name plate 67 for indirect detection. Thus, a binary signal that changes on and off is output.
The take-out guide member 62 employs, for example, a miniature light bulb or a light-emitting diode that can be turned on / off to visually guide the place where the medical material 10 to be taken out is placed.

The control device 30 (see FIG. 2A) includes a programmable controller such as a personal computer or a sequencer. The control device 30 is connected to the extraction guide member 62 and the medical material detection member 63 via, for example, a shelf controller 31 via a LAN (Local Area). Network) or a direct star connection, not shown in the figure, so that the detection result of the medical material detection member 63 can be taken in and the turning on / off of the extraction guide member 62 can be controlled.
The control device 30 (see FIG. 2B) includes a display 32 for displaying a screen, a keyboard 33 for inputting keys, a mouse 34 for inputting instructions and the like on the screen, and a bar for reading identification information. A code reader 35, a printer 36 for print output, an interface to a LAN 37 (Local Area Network) responsible for communication with the prescription order entry system and the like, and a hard disk 38 as a secondary storage device are provided.

  The control device 30 includes a program for performing management processing of the medical material storage state based on detection by the medical material detection member 63 and operating any of the extraction guide members 62 in response to an input of an extraction instruction. An extraction guide routine 41, a medical material detection routine 42, a medical material information setting routine 43, and a partition state manual setting routine 44 are installed. Further, the medical material presence / absence data 46, the medical material information table 47, the partitioning presence / absence data 48, and the log data 49 are stored and held in the hard disk 38 as separate files or integrated into an appropriate database. In this example (see FIG. 3), each data 46, 47, 48 is secured in the form of a table, each of which has six shelves 60 and the maximum number of sections in each shelf 60, that is, a partition member 65, an extraction guide. Corresponding to the maximum value of the number of the members 62 and the medical material detection members 63 being “21”, the matrix table has 6 rows and 21 columns.

  Each item of the medical material information table 47 (see FIG. 3A) stores the identification code of the medical material 10 stored in the corresponding part or may be stored and the screen display name. In the material presence / absence data 46 (see FIG. 3B), “1” indicating that the medical material 10 is stored in the corresponding location or “0” indicating that there is no medical material 10 is written. In the presence / absence data 48 (see FIG. 3C), “1” indicating that the partition member 65 is inserted in the corresponding location or “0” indicating that the partition member 65 is removed from the corresponding location. "Is now written. Since the medical material information table 47 needs to be set at least once before the first operation after the device is installed, the medical material information table 47 is initially set when the device is started up, and the setting update is often performed when the operation is stopped. The partition presence / absence data 48 is also initially set to reflect the state in which the partition member 65 is inserted before the initial operation, and setting input is performed for updating when the partition member 65 is attached / detached. The medical material presence / absence data 46 is completely cleared by initialization before the first operation, and thereafter updated every time the medical material 10 is taken in and out.

The medical material information setting routine 43 is activated in response to an operation of the keyboard 33 and the mouse 34, and when it is instructed in an environment where batch downloading is possible via a LAN 37 from a medicine master file existing in a host computer, In addition to downloading, the code and name of the medical material 10 can be set in the medical material information table 47 by selecting an item with the mouse 34 or inputting data with the keyboard 33 while confirming on the screen display of the display 32. It is like that.
The partitioning state manual setting routine 44 is also activated in response to the operation of the keyboard 33 and the mouse 34, and by selecting items and inverting values with the mouse 34 and the keyboard 33 while confirming on the screen display of the display 32, the partitioning presence / absence is determined. The data 48 can be set and input the state of whether or not the partition member 65 is inserted into the recess 61 of the shelf 60.

  The medical material detection routine 42 is automatically automatically started regularly by a timer or the like, or is automatically started irregularly by an interruption caused by a change in the detection signal of any medical material detection member 63. Based on this detection, the management process of the storage state of the medical material 10 is performed. Specifically, every time it is activated, all or changed detection results of the medical material detection member 63 are captured, and “1” or “0” is set in the medical material presence / absence data 46 corresponding to the on / off state. It comes to write. Further, when the detection result of the medical material detection member 63 is turned on and off and the storage or removal of the medical material 10 is detected, the information is additionally written in the log data 49 with a time stamp, and the medical material information table 47 Are printed together with the names of the corresponding items by the printer 36 and reported to a higher-level medical management computer or the like via the LAN 37.

  The take-out guide routine 41 reads the bar code reader 35 or operates the keyboard 33 or the mouse 34 to operate any of the take-out guide members 62 in response to the input of the take-out instruction. It is activated when a prescription number is input, and the storage location of the medical material 10 designated as the object to be taken out by reading or operation is obtained by searching the medical material information table 47, and the medical material detection member 63 at the corresponding location is turned on. It is supposed to let you. Note that the medical material detection routine 42 turns off the medical material detection member 63 that has been lit when detecting the removal of the medical material 10 at the corresponding location.

  Further, the extraction guide routine 41 and the medical material detection routine 42 are positioned on both sides of the recess 61 from which the partition member 65 is extracted based on the setting of whether the partition member 65 is inserted or not. The medical material detection member 63 and the extraction guide member 62 are collectively processed as one category, and the detection results of the medical material detection members 63 that are to be processed as a single category are inconsistent. The alarm is also issued when the duration is longer than a predetermined time.

  Specifically, when the extraction guide routine 41 turns on the medical material detection member 63, the extraction guide routine 41 checks whether or not the partition member 65 located on the left and right of the storage location is inserted with reference to the medical material presence / absence data 46, and In any case, when the value is “0” and the partition member 65 is extracted, the corresponding adjacent extraction guide member 62 is also lit together. Correspondingly, the medical material detection routine 42 performs a similar check on the medical material presence / absence data 46 when the extraction guide member 62 is turned off to collectively turn off the one category.

  The medical material detection routine 42 performs the same check with reference to the medical material presence / absence data 46 when the storage or removal of the medical material 10 is detected and the value of the medical material presence / absence data 46 is changed. When the data is to be processed as one category including the ones, it is checked whether or not the values of the medical material detection members 63 in one category match, and if all match, the process ends normally. To continue. If the values of the medical material detection members 63 in one category do not match even if monitoring is continued beyond the maximum time required for taking in and out the medical material 10, an alarm is generated by a screen display on the display 32 or a buzzer sound (not shown). It comes out.

  Further, the partition state manual setting routine 44 also sets the removal state of the partition member 65 in order to assist the routines 41 and 42 to collectively process the portions where the partition member 65 is removed as one section. When setting the partition presence / absence data 48, the corresponding item in the medical material information table 47, that is, the item corresponding to the storage location that is supposed to be located on both sides of the recess 61 from which the partition member 65 is extracted. When the item values (that is, the code and the name) are made the same and the insertion state of the partition member 65 is set in the partition presence / absence data 48, the item values are returned to their original values.

  In addition, each time a predetermined work is performed, the control device 30 requests the worker to input the worker identification information to obtain the worker identification information, or the worker inputs the worker identification information prior to the work. Thus, the worker identification information and related information collected by automatic detection or the like are accumulated in the log data 49 with a time stamp and output via the LAN 37. This process is performed not only in the extraction guide routine 41 but also in the partition state manual setting routine 44 and the like.

  The use mode and operation of the medical material storage management apparatus according to the first embodiment will be described with reference to the drawings. FIG. 4 is an explanatory diagram of the operation of the medical material storage management device, where (a) is an empty state and (b) is a state in which a small medical material is stored. FIG. 5 is also an explanatory diagram of the operation of the medical material storage management apparatus, in which (a) is a state where one partition member is removed from the shelf when it is empty, and (b) is a state where a medium size medical material is stored (C) is a state in which a large medical material is accommodated in the place where two partition members are extracted, and (d) is a state in which the detection result of the medical material detection member is inconsistent.

  Prior to the actual operation of the medical material storage management device 20, the desired number of shelves 60 are set in the storage portion of the housing 22, and the partition members 65 are inserted into the appropriate recesses 61 for the respective shelves 60. Then, the medical material information setting routine 43 of the control device 30 is activated by operating the keyboard 33, the mouse 34, etc., and an identification code of the medical material 10 and its screen display name are displayed in each item of the medical material information table 47. And set. At that time, it is preferable to perform a matching check with the name of the medical material written on the medical nameplate 67. Moreover, the partition state manual setting routine 44 of the control device 30 is started by operating the keyboard 33, the mouse 34, etc., and whether or not the partition member 65 is inserted into the recess 61 of the shelf 60 in each item of the partition presence / absence data 48. Set the state. The medical material presence / absence data 46 and the log data 49 are cleared by an appropriate initialization routine (not shown).

  Since the operation preparation is now complete, the operation state of the medical material storage management apparatus 20 will be described with a specific example. When the partition member 65 is inserted in all the recesses 61 (see FIGS. 4A and 4B), when the partition member 65 is extracted from one of the recesses 61 (FIG. 5A). , (B)), when the partition member 65 is pulled out from two consecutive ones of the recesses 61 (see FIGS. 5 (c) and 5 (d)), the storage operation (replenishment or return) and the accompanying operation are performed respectively. An operation such as data update, and an operation such as an extraction operation and data update associated therewith will be described.

  First, in the state where the partition member 65 is inserted in all the recesses 61 (see FIGS. 4A and 4B), when the medical material 10 is not yet stored (the uppermost part of FIG. 4A) In the medical material information table 47, individual values are still set (refer to A to E in the second part from the top of FIG. 4A, A to E are different codes and Each item value of the medical material presence / absence data 46 is a value “0” indicating no medical material (see the third part from the top of FIG. 4A). The item values are all “1” with the partition member (see the fourth row from the top in FIG. 4A).

  When the medical material 10 is stored on the shelf 60 in this state (see the uppermost part in FIG. 4B), the medical material nameplate 67 is positioned above the shelf 60 only at the location where the medical material 10 is stored, and the extraction guide Member 62 appears. At this time, the medical material information table 47 and the partition presence / absence data 48 do not change (see the second and fourth rows from the top in FIG. 4B), but the value of the corresponding item in the medical material presence / absence data 46 Is changed to “1” by the medical material detection routine 42 (see the third part from the top in FIG. 4B). In addition, the medical material detection routine 42 obtains the code and name (“C” in the example of the figure) of the medical material 10 from the medical material information table 47, and further requests the input of worker identification information. Is additionally written in the log data 49, printed by the printer 36, and reported to the upper medical management computer or the like via the LAN 37.

  When the medical material 10 thus stored is taken out from the medical material storage management device 20, an extraction instruction including the code “C” and operator identification information are sent to the control device 30 by operating the barcode reader 35 or the like. input. Then, the retrieval guide routine 41 of the control device 30 searches the medical material information table 47 and further checks the corresponding item in the medical material presence / absence data 46. In this case, the value is “1” and it is determined that there is medical material. Therefore, the take-out guide member 62 at the corresponding location is turned on (see the bottom row in FIG. 4B). The operator can take out the target medical material 10 without seeing it.

  Then, when the medical material 10 is taken out, the medical material nameplate 67 at the corresponding position is lowered to the front of the shelf 60 and the extraction guide member 62 and the medical material detection member 63 are hidden. At this time, the medical material detection routine 42 changes the value of the corresponding item in the medical material presence / absence data 46 to a value “0” indicating that there is no medical material. Information including the name (“C” in the figure) and worker identification information is additionally written in the log data 49, printed by the printer 36, and reported to the upper medical management computer or the like via the LAN 37. Further, when the take-out guide member 62 at the corresponding location is turned off, the state returns to the state before storage (see FIG. 4A).

  Next, when the partition member 65 is extracted from one of the recesses 61 (see FIGS. 5A and 5B), the adjacent partition member 65 is replaced or the medical nameplate 67 is replaced, A medical nameplate 67 having a width twice as large is set there. Further, before storing the medical material 10 there (see the uppermost part of FIG. 5A), the partition state manual setting routine 44 is started by operating the keyboard 33 and the mouse 34, and an instruction to update the setting is given. And the value of the corresponding item in the partitioning presence / absence data 48 is set to the value “0” without the partitioning member (see the fourth part from the top in FIG. 5A). Then, the medical material information table 47 is automatically updated by the partition state manual setting routine 44 and corresponds to the storage locations that are located on both sides of the recess 61 from which the partition member 65 is removed. For the items, the item values are aligned (see “BB” in the second row from the top in FIG. 5A). All items of the medical material presence / absence data 46 are “0” (see the third part from the top in FIG. 5A).

  In this state, when the medical material 10 having a width of 2 times or less is stored in the part on the shelf from which the partition member 65 has been extracted (see the uppermost part in FIG. 5B), the medical material information table 47 and the partition presence / absence data are stored. 48 does not change (refer to the second and fourth stages from the top in FIG. 5B), but the values of the corresponding two items in the medical material presence / absence data 46 indicate that there is medical material by the medical material detection routine 42. The value is changed to “1” (see the third row from the top in FIG. 5B). Further, the medical material detection routine 42 obtains the code and name (“B” in the example of the figure) of the medical material 10 from the medical material information table 47, and further requests the input of worker identification information. Is additionally written in the log data 49, printed by the printer 36, and reported to the upper medical management computer or the like via the LAN 37.

  When the medical material 10 thus stored is taken out from the medical material storage management device 20, an extraction instruction including the code “B” and operator identification information are sent to the control device 30 by operating the barcode reader 35 or the like. input. Then, the retrieval guide routine 41 of the control device 30 searches the medical material information table 47 and selects two consecutive items (see the “BB” portion in the second row from the top in FIG. 5B). Further, the corresponding two items of the medical material presence / absence data 46 are checked. In this case, since the values of both items are “1” and it is found that there is a medical material, the extraction guides adjacent to each other at the corresponding part are found. Two members 62 are turned on together (refer to the bottom of FIG. 5B). The operator can take out the target medical material 10 without hesitation.

  Then, when the wide medical material 10 is taken out, the wide medical material nameplate 67 of the corresponding part is lowered to the front of the shelf 60 and the two sets of the extraction guide member 62 and the medical material detection member 63 are hidden. At this time, the medical material detection routine 42 changes the value of the corresponding two items in the medical material presence / absence data 46 to a value “0” indicating that there is no medical material. The information including the name and the name ("B" in the figure) and the worker identification information is additionally written in the log data 49, printed by the printer 36, and reported to the upper medical management computer or the like via the LAN 37. Further, when the extraction guide members 62 at the corresponding places are collectively turned off, the state before the storage is restored (see FIG. 5A).

  Furthermore, when the partition member 65 is pulled out from two consecutive ones of the recesses 61 (see FIG. 5C), since it is easily inferred from the above description, a detailed description that is repeated is omitted. A large medical material 10 having a width of up to three times can be accommodated (see the uppermost part of FIG. 5C). In this case, the medical nameplate 67 having a width three times is set, and the partitioning state manual setting routine 44 is activated to set the values of the corresponding two items in the partitioning presence / absence data 48 to the value “0” without the partitioning member (FIG. 5). (Refer to the fourth row from the top (c)), the values of the corresponding three items in the medical material information table 47 are aligned (see the “BBB” portion in the second row from the top in FIG. 5 (c)). .

Then, when the medical material 10 having a lateral width of three times or less is stored therein (see the uppermost part of FIG. 5C), the corresponding three items in the medical material presence / absence data 46 are all changed to the value “1”. (Refer to the third row from the top in FIG. 5C) Additional writing to the log data 49 is also performed.
When an extraction instruction including the code “B” is input to the control device 30, the corresponding three items in the medical material information table 47 are selected (the “BBB” portion in the second row from the top in FIG. 5C). Further, the corresponding three items of the medical material presence / absence data 46 are checked. In this case, since the values of all three items are equal to “1”, three extraction guide members 62 adjacent to each other at the corresponding portion are grouped. (See the bottom row in FIG. 5C). Therefore, also in this case, the operator can take out the target medical material 10 without hesitation.

  By the way, if any one of the three medical material detection members 63 that detect the medical material nameplate 67 having a lateral width of 3 times fails (see FIG. 5D), the corresponding three items of the medical material presence / absence data 46 are displayed. Of these, two items change to the value “1”, but one item remains the value “0” (see the third row from the top in FIG. 5D). Then, the matching result between the medical material presence / absence data 46 and the partitioning presence / absence data 48 by the medical material detection routine 42 becomes inconsistent for the three items to be processed as one category. When the inconsistency state continues beyond the maximum time required for taking in and out the medical material 10, an alarm is issued by the medical material detection routine 42, and the abnormality is determined.

A specific configuration of the medical material storage management apparatus according to the second embodiment of the present invention will be described with reference to the drawings. FIG. 6 shows the structure of the medical material storage management device 20, where (a) is an exploded perspective view of the shelf 60 and the partition member 65, and (b) is a functional block diagram of the control device 30.
The medical material storage management device 20 is different from that of the first embodiment described above in that a partition detection member 64 is added and the partition state manual setting routine 44 is changed to a partition state automatic setting routine 45. is there.

  The partition detection member 64 (see FIG. 6A) is made up of, for example, a mechanical switch, a reflective photosensor, a capacitance sensor, etc., and is sensitive to the lower end surface of the partition member 65 inserted in the recess 61 on the top surface of the shelf 60. It is embedded in the upper surface of the shelf 60 so as to face upward, and is disposed at each of the partition member 65 insertion portions in the shelf 60. In this example, in order to detect whether or not the partition member 65 is inserted in the corresponding location, the two are provided in the middle of the recesses 61 that are paired in the front and rear and change on and off according to the presence or absence of the partition member 65. A value signal is output.

  The partition state automatic setting routine 45 (see FIG. 6B) is automatically started periodically by a timer or the like, or is automatically started irregularly by an interrupt caused by a change in the detection signal of any partition detection member 64 or the like. The partition presence / absence data 48 is updated based on detection by the partition detection member 64. Specifically, every time it is activated, all or changed detection results of the partition detection member 64 are captured, and “1” or “0” is written in the partition presence / absence data 48 in accordance with the on / off state. It has become. Other functions, such as automatic update of the medical material information table 47, are the same as the partition state manual setting routine 44 described above. Thereby, the control apparatus 30 collects the medical material detection member 63 and the extraction guide member 62, which are supposed to be located on both sides of the dent 61 from which the partition member 65 is extracted, as one of the dents 61. Processing is performed based on detection by the partition detection member 64.

In this case, when the partition member 65 is removed from the recess 61 of the shelf 60, or when the partition member 65 is inserted into the recess 61 of the shelf 60, this is detected even if the setting is not manually input. It is detected by the member 64 and automatically set in the partition presence / absence data 48 by the partition state automatic setting routine 45. Therefore, inconsistency between the partition member 65 insertion state and the partition presence / absence data 48 caused by forgetting the setting input work or the like does not occur.
Other usage modes and operations are the same as those in the first embodiment.

  The partition member 65 and the shelf 60 shown in the perspective view of FIG. 7A are different from those of the first and second embodiments described above in that the partition member 65 is formed by bending a round bar instead of a plate material. And the dent 61 is a point which does not penetrate and is a bottomed hole. The partition detection member 64 is embedded in a place facing the light emitter 64a and sandwiching the recess 61, and the light emitted from the light emitter 64a is blocked by the insertion / extraction portion 66 at the end of the partition member 65 so that the light cannot be received. Whether or not the partition member 65 is inserted is detected based on whether or not the light can be received.

  The partition member 65 and the shelf 60 shown in the perspective view in FIG. 7B are different from those of the first and second embodiments described above in that the vertical cross-sectional shape of the partition member 65 is an inverted T shape. The dent 61 is a groove. In this case, when the insertion / extraction portion 66 at the lower end of the partition member 65 is slid into the recess 61, the partition member 65 is inserted into the recess 61.

  The partition member 65 and the shelf 60 shown in the perspective view of FIG. 7C are different from those of the first and second embodiments described above in that the partition member 65 is formed by bending a round bar instead of a plate material. The dent 61 is not formed on the top surface of the shelf 60 but on the front surface and the back surface by notches and perforations. In this case, when the insertion / extraction portions 66 at both ends of the partition member 65 are expanded and then inserted into the recess 61, the partition member 65 is inserted into the recess 61 and is fixed by elastic force to be stabilized.

A specific configuration of the medical material storage management apparatus according to the fourth embodiment of the present invention will be described with reference to the drawings. 8A and 8B show the structure of the medical material storage management apparatus 20, wherein FIG. 8A is a front view of the door 24 opened, FIG. 8B is an exploded perspective view of the shelf 70 and the partition member 75, and FIG. 3 is a functional block diagram of the device 30. FIG.
The medical material storage management device 20 is different from those of the first to third embodiments described above in that a shelf 70 is installed in a part of the storage unit instead of the shelf 60 (see FIG. 8A). ).

  The shelf 70 is provided with a partition member 75, and the partition member 75 is obtained by omitting the medical material nameplate 67, the connecting member 68, and the swinging support shaft 69 from the partition member 65 (see FIG. 8B). In place of the medical material detection member 63, the medical material detection member 73 for detecting whether or not the medical material 10 is placed is provided on the upper surface of the shelf 70, and performs direct detection in response to the bottom surface of the medical material 10. ing. The recess 71, the extraction guide member 72, the partition detection member 74, and the insertion / removal portion 76 are different from the corresponding recess 61, the extraction guide member 62, the partition detection member 64, and the insertion / removal portion 66, respectively, but have the same structure. Or of the same function.

In addition to the extraction guide member 62, the medical material detection member 63, and the partition detection member 64, the control device 30 is extended so that the extraction guide member 72, the medical material detection member 73, and the partition detection member 74 can also be accessed. Has been. Further, the routines 41 to 45 and the data 46 to 49 of the control device 30 are also modified so as to finely adjust the member address definition, the table size, etc. in order to reflect the member configuration.
In this case as well, the basic usage mode and operation are the same as those of the above-described embodiments, but regarding the detection method of the medical material 10, the shelf 70 is a direct detection type, whereas the shelf 60 is an indirect detection method. Since both are mixed in the storage unit of the medical material storage management device 20, it is possible to store different types of medical materials 10 and to manage them automatically and accurately.

That is, the medical material 10 may be packaged or bundled, or may be put in a case or a container. However, a material suitable for storage in the direct detection type shelf 70 is a CD case-like container or corner. It is a relatively stable shape that is placed in a box and is self-supporting at the time of storage. Specific examples of such medical materials include tube sets for injection infusion, small and short catheters, Examples include set items.
Also suitable for storage in the indirect detection type shelf 60 is a relatively unstable shape that is packed in a round-shaped hard case, blister packaging case, or soft packaging and that does not stand by itself during storage. However, the material is thick, and specific examples of such medical materials include respiratory related materials such as filters, surgical materials, and artificial materials.

  Embodiment 5 of the medical material storage management apparatus of the present invention will be described with reference to the drawings. FIG. 9 shows the medical material replenishment status, and (a) to (c) are all screen display examples. FIG. 10 shows the continuation of the medical material replenishment situation, (a) is a perspective view of a shelf on which a partition member is mounted, (b) is a perspective view where identification information is read from a medical material, (c) FIG. 3 is a perspective view of a shelf storing medical materials.

This medical material storage management device is different from the above-mentioned one in that guidance display is performed not only at the time of taking out but also at the time of replenishment, and that the display 32, keyboard 33 and mouse 34 become a touch panel 39. The extraction guide member 62 can be visually recognized without being hidden by the medical nameplate 67 even when empty.
In this case, during normal operation (see FIG. 9A), the information on the medical material 10 taken out from the medical material storage management device is displayed on the touch panel 39 in real time in chronological order. When an arbitrary item 39a among the screen display items is directly selected with a finger, detailed display for confirmation is performed, and guidance display at the time of replenishment is also performed according to a specific selection operation.

  That is, when the refill button 39b for screen display is selected with a finger during normal operation (see FIG. 9A), the display on the touch panel 39 is switched to the refill mode selection screen (see FIG. 9B). In this screen, when the replenisher information is input, the already registered button 39c and the new registration button can be selected. When the new registration is selected, the identification code (the identification code of the medical material 10 that can be stored in each storage location (address)) ( No.) and a screen display name (medical material name) can be registered. When such registration has been completed, the selection of the already registered button 39c becomes effective. Therefore, when the guidance display at the time of replenishment is desired, the selection operation is performed.

Then, the display on the touch panel 39 is switched to the registered list mode screen (see FIG. 9C). After confirming that the display is further empty, the screen is operated by operating the scroll button 39f if necessary. Feeding or the like is performed, and the corresponding medical material item 39d among the screen display items is directly selected with a finger.
If the number of empty positions 39e registered as a position where the medical material (for example, a filter in a bag) can be stored is, for example, three (three bags), in this example, the takeout guide member 62 serves as a replenishment destination guide member. Since they also serve, all three empty guide members 62 are lit (see FIG. 10A).

  Further, the bar code (identification information) attached to the medical material 10 to be stored is read by the bar code reader 35 (see FIG. 10B), and after a matching check, the medical material 10 is placed on the shelf. The guide member is housed in one of the guide member lighting positions on 60. Then, all the guide members are turned off (see FIG. 10C), and log data such as who has replenished what and where are recorded together with the time stamp.

  In this way, guidance display and work recording are appropriately performed for replenishment. In this example, from the viewpoint of emphasizing checking, both the selection work of the medical material item 39d on the registered list mode screen and the reading work of the identification information of the medical material 10 by the barcode reader 35 are performed. However, since the medical material 10 can be specified by performing either one of the two operations, it is sufficient that one of the operations can be performed. Further, even if both operations can be performed, the replenishment destination guidance display may be performed immediately if any of the operations is performed without any necessity.

[Others]
In the above embodiment, the control device 30 is stored in the electrical unit 21, but the control device 30 may be placed outside the housing 22. The input / output means of the control device 30 is not limited to the display 32 and the keyboard 33 described above, and may be a touch panel or a portable information terminal.
In the above embodiment, the medical material detection routine 42 associates the medical material detection member 63 on / off with the storage / removal of the medical material 10 on a one-to-one basis. However, the extracted medical material 10 is not used. It is easy to expand the system so that it can be automatically managed until it is returned to the original state. For example, when the takeout and storage are performed in a short time, or when one of the operation modes is introduced into the control device 30 When storage is performed in the limited mode, it may be determined that there is a return rather than replenishment, and return information is added to the log data 49 or other output data. Not only data accumulation and output, but also expiration date management, inventory management, drug history list creation, and even inspection may be performed.

  Furthermore, depending on the shape of the medical material, it is necessary to store it in a certain container such as an irregularly shaped packaging with severe irregularities, a medical material that is difficult to store by soft packaging, or a very light or small container. Can be installed on a shelf with this function with a lid (case with nameplate).

About Example 1 of this invention, the mechanical structure of a medical-materials storage management apparatus is shown, (a) is a front view of the place which closed the door, (b) is a front view of the place which opened the door, (c) is FIG. 4 is an exploded perspective view of the shelf and the partition member, and FIG. 4D is an external perspective view of the shelf on which the partition member is mounted. The schematic structure of a control apparatus is shown, (a) is a general | schematic block diagram which shows the connection relationship between a control apparatus, an extraction guide member, etc., (b) is a functional block diagram of a control apparatus. The data structure of a control apparatus is shown, (a) is related to a medical material information table, (b) is related to medical material presence / absence data, and (c) is related to partitioning presence / absence data. It is operation | movement explanatory drawing of a medical material storage management apparatus, (a) is an empty state, (b) is the state which accommodated the small medical material. It is operation | movement explanatory drawing of a medical material storage management apparatus, (a) The state which pulled out one partition member from the shelf when it is empty, (b) The state which accommodated the medium-sized medical material, (c) Is a state in which a large medical material is stored in the place where two partition members are extracted, and (d) is a state in which the detection result of the medical material detection member is inconsistent. The structure of a medical material storage management apparatus is shown about Example 2 of this invention, (a) is an expansion | deployment perspective view of a shelf and a partition member, (b) is a functional block diagram of a control apparatus. About Example 3 of this invention, three types of deformation structures are shown, (a)-(c) are all perspective views of a partition member and a shelf. FIG. 4 shows the structure of a medical material storage management apparatus according to Example 4 of the present invention, where (a) is a front view of a door opened, (b) is a developed perspective view of a shelf and a partition member, and (c) is a control. It is a functional block diagram of an apparatus. About Example 5 of this invention, a medical material replenishment condition is shown and (a)-(c) are all examples of a screen display. The continuation of the medical material replenishment situation is shown, (a) is a perspective view of a shelf equipped with a partition member, (b) is a perspective view of reading identification information from a medical material, (c) is storing a medical material It is a perspective view of a shelf.

Explanation of symbols

10 ... medical materials,
20 ... Medical storage management device,
21 ... electric part, 22 ... housing, 23 ... grip, 24 ... door,
30 ... Control device,
31 ... shelf controller, 32 ... display, 33 ... keyboard,
34 ... Mouse, 35 ... Bar code reader, 36 ... Printer,
37 ... LAN (Local Area Network), 38 ... Hard disk,
41 ... extraction guide routine, 42 ... medical material detection routine,
43 ... Medical material information setting routine, 44 ... Partition state manual setting routine,
45 ... Partition state automatic setting routine, 46 ... Medical material presence / absence data,
47 ... medical material information table, 48 ... partition presence / absence data, 49 ... log data,
60 ... shelf,
61 ... dent (partition member insertion), 62 ... extraction guide member,
63 ... Medical material detection member, 64 ... Partition detection member, 64a ... Light emitter,
65 ... partition member,
66 ... Inserting / extracting part, 67 ... Medical nameplate, 68 ... Connecting member, 69 ... Swing support shaft,
70 ... shelf,
71 ... dent (partition member insertion), 72 ... extraction guide member,
73 ... medical material detection member, 74 ... partition detection member,
75 ... partition member, 76 ... insertion / extraction part

Claims (5)

  A shelf in which recesses for inserting partition members are formed in a row for partitioning and placing a large number of medical materials so as to be placed, partition members inserted so as to be removable with respect to the recesses, and rows of the recesses A medical material detection member that is arranged on the shelf in an arrangement state that alternates with the dent in the direction of formation and that detects the presence / absence of placement of a medical material at a corresponding location, and alternately with the dent in the direction of formation of the dent And a take-out guide member for visual recognition arranged in the shelf in the arrangement state, and a management process of a medical material storage state based on detection by the medical material detection member, and the take-out guide according to an input of a take-out instruction A medical material storage management device comprising a control device for operating any of the members, wherein a visual medical nameplate is attached to the partition member via a connecting member, and the connecting member Medical materials and dried The medical material nameplate is located on the medical material take-out side at the corresponding location and interlocks with the connecting member, and the medical material detection member However, the medical material storage management apparatus is characterized in that the presence / absence detection of a medical material is indirectly detected by detecting the top and bottom of the medical material nameplate.   When the medical material nameplate is raised corresponding to the placement of the medical material at the corresponding location, the medical material nameplate is located above the corresponding location among the extraction guide members, and the medical material is removed from the corresponding location. 2. The medical material storage management apparatus according to claim 1, wherein when it descends correspondingly, visual recognition of the corresponding part of the extraction guide member is hindered.   The control device is capable of setting and inputting the state of whether or not the partition member is inserted into the recess, and is positioned on both sides of the recess from which the partition member is extracted based on the setting. The medical material storage management apparatus according to claim 1 or 2, wherein the medical material detection member and the extraction guide member are collectively processed as one section.   A partition detection member for detecting whether or not the partition member is inserted into the recess is provided, and the control device detects both sides of the recess from which the partition member is extracted based on detection by the partition detection member. The medical material detection member according to claim 1 or 2, wherein the medical material detection member and the extraction guide member which are said to be located in a single area are collectively processed as one section. Material storage management device.   The control device is configured to issue an alarm when the detection result disagreement state continues for the medical material detection member that is to be processed as one category. The medical material storage management apparatus according to claim 3 or 4, characterized in that:

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