JP2009125487A - Medical material storage management apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To further simplify a medical material storage management apparatus which makes it possible to easily and accurately take a medical material in and out and also automatically and accurately recognize a storage condition. <P>SOLUTION: Hanging members 55 for hanging and storing the medial materials 10 are mounted in a row on a horizontally disposed frame 50 and medical material detection members 53 and takeout guide members 52 are disposed at each hanging part to the horizontally disposed frame 50. Also, the hanging members 55 are energized to an elevated position by energizing members 54. Further, by utilizing the elevation and lowering of the hanging member 55 according to the presence/absence of the hanging of the medical material 10, the medical material detection member 53 indirectly detects the presence/absence of the hanging of the medical material 10. Thus, since the need of a swing mechanism is eliminated, the part to mount many hanging members is simplified. <P>COPYRIGHT: (C)2009,JPO&INPIT

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. .

With the spread of drug storage devices that can be easily taken out and stored in the cassette, and the storage status can be accurately grasped, medical materials other than drugs can be easily and accurately loaded and removed. However, it has been demanded to provide a medical material storage management device that automatically and accurately grasps 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 small quantities of various varieties. 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. 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. In implementing the prevention measures, in consideration of the characteristics of medical materials, the device structure is simplified and the device is devised to accommodate a wide range of medical materials, even simple devices. Medical material storage management devices have been developed.

  Specifically (see Patent Document 1), a horizontal member in which a suspension member mounting portion is formed in a row in order to suspend many medical materials side by side, and a medical material that is mounted on the suspension member mounting portion. The suspension member that swings according to whether or not the suspension is suspended, and whether or not the medical material is suspended at the corresponding location according to the swinging state of the suspension member provided in each of the suspension member mounting portions. A medical material detection member to be detected, a take-out guide member for visual recognition provided in each of the suspension member mounting portions, a medical material storage state management process based on detection by the medical material detection member, and a take-out instruction A medical material storage management device comprising a control device that activates any of the extraction guide members in response to an input of the suspension member, wherein the suspension member is engaged with a medical material when suspended when swinging. When lowered and removed, the engagement The adapted raise frontward.

JP 2006-068363 A

However, in such a conventional medical material storage management device, in order to avoid complication of the device, the detection of whether or not the medical material is suspended by the medical material detection member is changed to indirect detection instead of direct detection. Utilizing the fact that the suspension member swings depending on whether the medical material is suspended or not. For this reason, since not only the detection member but also the swing mechanism is integrated at the suspension member mounting portion of the horizontal member, it cannot be said that the simplification of the mechanism portion of the apparatus has been made to the limit.
Therefore, it is a technical problem to devise a mechanism that eliminates the need for a swing mechanism in order to further simplify.

  The medical material storage management device of the present invention (Solution 1) was created in order to solve such a problem, and a suspension member mounting portion is arranged in order to suspend many medical materials side by side. Of the horizontal members that are formed, the suspension members that are mounted on the suspension member mounting portion and that move up and down depending on whether the medical material is suspended, and the suspension members that are provided in the suspension member mounting portions, respectively. A biasing member that biases the corresponding member to the raised position, and whether or not the medical material is suspended at the corresponding portion is detected according to the lifted state of the corresponding member among the suspension members provided in the suspension member mounting portion. A medical material detection member, a visual extraction guide member provided in each of the suspension member mounting portions, and a medical material storage state management process based on detection by the medical material detection member, and an instruction to take out The withdrawal plan according to the input And a control device for operating any of the members.

In such a medical material storage management device of the present invention (solution 1), the medical material is suspended and stored on the suspension member, but the suspension member is mounted in a row on the horizontal member. Since the storage locations are lined up, the medical materials can be easily placed in and out without being stored in the cassette, and the stored medical materials are prevented from collapsing and becoming messy. You can also.
In addition, since the medical material detection member and the extraction guide member are arranged in each suspension location / section area (suspension member mounting portion), it is possible to detect and automatically manage the presence or absence of storage for each medical material, The storage location of the medical material to be taken out can be appropriately guided.

In addition, the medical material detection member indirectly detects the presence / absence of hanging of the medical material by utilizing the lifting / lowering of the hanging member depending on whether the medical material is hung or not. Therefore, even if it is suspended below the horizontal member, the presence / absence detection can be performed at the horizontal member, so that the apparatus can be prevented from becoming complicated.
Further, after the lifting member is moved up and down according to whether the medical material is suspended, the lowering is performed by the weight of the suspended medical material, and the lifting is performed by the biasing force of the biasing member. By doing so, the swinging mechanism becomes unnecessary, and the number of the suspension member mounting portions having a large number is further simplified.
Therefore, according to the present invention, it is possible to realize a medical material storage management device that can easily and accurately insert and remove medical materials and that can automatically and accurately grasp the storage status with a simple structure.

About the medical material storage management apparatus of such this invention, the specific form for implementing this is demonstrated by Example 1 shown in FIGS. 1-3, or Example 2 shown in FIG.
In these drawings, for the sake of simplicity, fasteners such as bolts, connecting tools such as hinges, detailed electronic circuits such as drivers are omitted, and those necessary for explaining the invention and related items are omitted. It is illustrated centering on what to do.

  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. FIG. 1 shows the mechanical structure of the medical material storage management apparatus 20, wherein (a) is a front view of the door 24 closed, (b) is a front view of the door 24 opened, and (c) is a horizontal view. The front view of the frame 50 (horizontal material) and the suspension member 55, (d) And (e) is the horizontal frame 50 and the suspension member which looked at the suspension member mounting part of the horizontal frame 50 longitudinally. 55 is a left side view of FIG. FIG. 2 shows a schematic structure of the control device 30, (a) is a schematic block diagram showing a connection relationship between the control device 30 and the extraction guide member 52 and the medical material detection member 53, and (b) is a control device 30. It is a functional block diagram. Further, FIG. 3 shows the data structure of the control device 30, where (a) relates to the medical material information table 47 and (b) relates to the medical material presence / absence data 46.

  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 horizontal frame 50 (horizontal material) is installed inside the storage portion where the door 24 is opened. In this example, there is only one horizontal frame 50, and the horizontal frame 50 is installed sideways on the upper stage portion of the storage unit. The horizontal frame 50 is formed of a rectangular cylindrical body with a part cut away, and from the lower surface and the bottom surface, in order to suspend and arrange a large number of medical materials, they are arranged in the longitudinal direction (left and right in the figure). (Ii) The arm-shaped suspension members 55 hang down in a state of being lined up at a constant pitch or an indefinite pitch.

  Various members are mounted on the suspension member mounting portion of the horizontal frame 50 (see FIGS. 1C to 1E) using the hollow of the horizontal frame 50. That is, a slit-like cut 50a is formed at the bottom of the horizontal frame 50, and the neck of the suspension member 55 is loosely inserted therein, and the head 51 of the suspension member 55, the biasing member 54, and the like. The medical material detection member 53 is housed in the hollow of the horizontal frame 50, and the rear end of the extraction guide member 52 provided on the front surface of the horizontal frame 50 and the electrical wiring of each member are also stored in the hollow of the horizontal frame 50. It has been. The cuts 50a are formed in a row at a constant pitch or an indefinite pitch in the longitudinal direction of the horizontal frame 50, and when the suspension member 55 is loosely inserted into each cut 50a, it is viewed from the front (FIG. 1). (See (c)), the left and right positions are generally restricted, and the alignment state (alignment in the longitudinal direction) is maintained without hindering the lifting and lowering of the suspension member 55.

  The suspension member 55 has a head 51 fixed to the upper end of a bar bent in a substantially J shape when viewed from the side, and the lower end of the vertical bar portion is bent like a hook so that the engagement portion 56. The head 51 (see FIGS. 1 (d) and 1 (e)) is large enough not to fall out from the notch 50 a in order to define the lower and upper limits related to the lifting and lowering of the suspension member 55 (linear movement in the axial direction) The length in the height direction is slightly shorter than the hollow height of the horizontal frame 50. A part of the head 51 near the medical material detection member 53 is formed in, for example, a protruding piece-shaped detected portion 51a, and the detected portion 51a is medical material according to the lifting and lowering of the suspension member 55 and the head 51. The detection part of the detection member 53 enters and exits.

  The urging member 54 may be an inexpensive elastic member such as a spring, and is attached to the neck portion of the suspension member 55. In the empty state where the medical material 10 is not suspended, the urging force of the urging member 54 raises the suspension member 55 to the upper limit (see FIG. 1D), and when the medical material 10 is suspended, the urging force is applied. The suspension member 55 is lowered to the lower limit by the weight of the medical material 10 that exceeds the urging force of the member 54 (see FIG. 1E). Further, since the detected portion 51a enters and exits the detection portion of the medical material detection member 53 in accordance with the lifting and lowering of the suspension member 55, whether the medical material 10 is suspended is indirectly detected. ing.

The medical material detection member 53 employs an appropriate sensor such as a Hall element or a photo interrupter, is attached to the inner surface of the horizontal frame 50, and outputs a binary signal that changes on and off according to the presence or absence of the medical material 10. It is like that.
The take-out guide member 52 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, and is visible when the door 24 is opened. It is equipped on the front of the horizontal frame 50.
Both the extraction guide member 52 and the medical material detection member 53 are arranged in the horizontal frame 50 so as to correspond to the cut 50a and the suspension member 55, and exist for each suspension member 55, that is, for each basic storage location.

The control device 30 (see FIG. 2A) includes a programmable controller such as a personal computer or a sequencer, and is connected to the extraction guide member 52 and the medical material detection member 53 via, for example, a subordinate controller 31 via a LAN (Local Area Network). Although connected or omitted in the figure, it is directly connected to the star so that the detection result of the medical material detection member 53 can be taken in and the on / off state of the extraction guide member 52 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 53 and operating any of the extraction guide members 52 in response to an input of an extraction instruction. An extraction guide routine 41, a medical material detection routine 42, and a medical material information setting routine 43 are installed. Further, the medical material presence / absence data 46, the medical material information table 47, 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 FIGS. 3A and 3B), the medical material presence / absence data 46 and the medical material information table 47 are secured in a table format, and each has a single horizontal frame 50 and a horizontal frame. Corresponding to the number of basic storages in the frame 50, that is, the number of the suspension members 55, the extraction guide members 52, and the medical material detection members 53 being "12", a one-dimensional and 12-column one-dimensional array table is formed. ing.

  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 the medical material 10 is not present is written. It has become. 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 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 is instructed in an environment in which batch downloading is possible via a LAN 37 from a medicine master file existing in a host computer (not shown). In some cases, in addition to batch downloading, the code and name of the medical material 10 are set in the medical material information table 47 by selecting an item with the mouse 34 or inputting data with the keyboard 33 while checking on the screen of the display 32. It can be done.

  The medical material detection routine 42 is automatically automatically started periodically 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 53. 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 53 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 53 changes 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 52 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 53 at the corresponding location is turned on. It is supposed to let you. In addition, the medical material detection routine 42 performs the light extinction of the medical material detection member 53 that has been turned on at the time of detecting the removal of the medical material 10 at the corresponding location.

  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 also performed in the extraction guide routine 41.

  The use mode and operation of the medical material storage management apparatus 20 according to the first embodiment will be described with reference to the drawings. FIG. 3 is an explanatory diagram of the operation of the medical material storage management apparatus 20, where (c) is an empty state and (d) is a state where the medical material 10 is stored.

  Prior to the actual operation of the medical material storage management device 20, the medical material information setting routine 43 of the control device 30 is activated by operating the keyboard 33, the mouse 34, etc., and the medical material 10 The identification code and its screen display name are set. The medical material presence / absence data 46 and the log data 49 are cleared by an appropriate initialization routine (not shown). Since the preparation for operation is now complete, the operation state of the medical material storage management apparatus 20 will be described below with a specific example.

  In a state where the medical material 10 has not been suspended and stored (see the uppermost part of FIG. 3C), individual values are still set in the items in the medical material information table 47 (FIG. 3C ) (See A to E in the second stage from the top, A to E represent different codes and names), and the item values of the medical material presence / absence data 46 are all “0” without medical material ( (See the third row from the top in FIG. 3C).

  When the medical material 10 is suspended from the engaging portion 56 of the suspension member 55 in this state (see the uppermost portion in FIG. 3D), the suspension member 55 in the suspended storage location is loaded with the weight of the medical material 10. The medical material detection member 53 at the corresponding location is actuated accordingly. At this time, the medical device information table 47 does not change in the control device 30 (see the second part from the top in FIG. 3D), but the value of the corresponding item in the medical material presence / absence data 46 is detected as the medical material detection. The value 42 is changed to “1” with the medical material by the routine 42 (refer to the third row from the top in FIG. 3D). 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 a higher-level medical management computer (not shown) via the LAN 37.

  On the other hand, when the medical material 10 stored in this way is taken out from the medical material storage management device 20, the control device sends out the extraction instruction including the code “C” and the operator identification information by operating the barcode reader 35 or the like. Enter 30. 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 52 at the corresponding location is turned on (see the lowermost stage in FIG. 3D). The operator can take out the target medical material 10 without seeing it. At that time, since the engaging portion 56 is lowered from the empty one, it is easy to remove the medical material 10 from the engaging portion 56.

  Then, when the medical material 10 is taken out, the corresponding suspension member 55 is raised, and the control device 30 determines that the value of the corresponding item in the medical material presence / absence data 46 is “no medical material” by the medical material detection routine 42. The value is changed to “0”, and information including the code and name from the extraction guide routine 41 (“C” in the example in the figure) and worker identification information is additionally written to the log data 49. Then, it is 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 52 at the corresponding location is turned off, the state returns to the state before storage (see FIG. 3C).

  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. 4A and 4B are front views, and FIG. 4C is a left side view. In addition, illustration of the medical material 10 is omitted for simplification.

The medical material storage management device 60 is different from the medical material storage management device 20 of the first embodiment described above in that a plurality of horizontal frames 50 with the longitudinal direction directed back and forth are left and right to improve the space utilization rate. The horizontal frame 50 can be individually pulled out in the front and longitudinal directions.
The drawing member 61 that supports the horizontal frame 50 in a state where the horizontal frame 50 can be pulled out horizontally is illustrated in a simplified manner as a rail-like member provided on the upper side of the horizontal frame 50, but may be a rod-like member and provided on the lower side. It may be provided above and below, or may be inserted through the horizontal frame 50.

When the horizontal frame 50 is pushed rearward, the take-out guide member 52 is hidden in the housing together with the horizontal frame 50 and cannot be visually recognized, so that the place where the medical material 10 to be taken out is placed is visually appealed and guided. In order to maintain the function even in the state where the horizontal frames 50 are arranged, an extraction guide member 62 is provided on the front end surface and the leading end surface of the horizontal frame 50 in the drawing direction.
The take-out guide member 62 provided in such a place is visible at any time as long as the door 24 is open.

In this case, when the stored medical material 10 is taken out from the medical material storage management device 60, if the instruction or information necessary for taking out is input to the control device 30 by operating the barcode reader 35 or the like, the corresponding portion is first taken out. The guide member 62 is turned on. When the operator pulls out the corresponding horizontal frame 50 by looking at it, the extraction guide members 52 arranged in the horizontal frame 50 can be visually recognized, and the extraction guide members 52 at the corresponding portions are turned on.
Therefore, also in this case, the operator can easily take out the target medical material 10 without any mistake.

[Others]
In the above-described embodiment, the horizontal frame 50 has a rectangular tube shape. However, the horizontal frame is a long product that is placed horizontally and can be mounted in a number of suspension members. Alternatively, for example, a cylindrical shape, a bowl shape, a solid rod shape, or a long plate shape may be used. The horizontal member may be supported by both sides or may be cantilevered, and a part of the drawing member 61 may be pulled out together with the horizontal frame 50.
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.
Further, in the above embodiment, when the suspension member 55 is illustrated, the engaging portions 56 are all directed leftward, but the direction of the engaging portions 56 is arbitrary. The engaging portion 56 may face either the front, back, left or right, and may or may not be aligned with the other.

  Furthermore, in the above-described embodiment, the medical material detection routine 42 associates the medical material detection member 53 with one-on-one correspondence between storing / removing the medical material 10 on / off, but the medical material 10 taken out is used. It is also easy to expand the system so that it can be automatically managed until it has been returned to the vehicle. For example, when the take-out 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 extraction limited mode, it is preferable to determine that there is a return rather than replenishment, and add the return information 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.

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 The front view of a horizontal frame and a suspension member, (d) And (e) is the left side view of the horizontal frame and the suspension member which saw the suspension member mounting part of the horizontal frame vertically. 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. (A) is a structural diagram of a medical material information table of the control device, (b) is a structural diagram of medical material presence / absence data of the control device, (c) and (d) are operation explanatory diagrams of the medical material storage management device, Among them, (c) is an empty state, and (d) is a state in which medical materials are stored. About Example 4 of this invention, the mechanical structure of a medical-materials storage management apparatus is shown, (a) And (b) is a front view, (c) is a left view.

Explanation of symbols

10 ... medical materials,
20 ... medical material storage management device, 21 ... electrical component,
22 ... Case, 23 ... Handle, 24 ... Door,
30 ... Control device, 31 ... Lower 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, 46 ... Medical material presence / absence data,
47 ... medical material information table, 49 ... log data,
50 ... Horizontal frame (horizontal material), 50a ... Cut (suspending member mounting part),
51 ... head, 51a ... detected part, 52 ... extraction guide member,
53 ... Medical material detection member, 54 ... Biasing member,
55 ... Suspension member, 56 ... Engagement unit 60 ... Medical material storage management device,
61 ... drawer member, 62 ... extraction guide member

Claims (1)

  A horizontal member in which a suspension member mounting portion is formed in a row to suspend a large number of medical materials side by side, and a suspension that is mounted on the suspension member mounting portion and moves up and down depending on whether the medical material is suspended. A member, a biasing member that is provided in each of the suspension member mounting portions, and biases a corresponding one of the suspension members to a raised position, and among the suspension members that are provided in each of the suspension member mounting portions. A medical material detection member that detects whether or not the medical material is suspended at a corresponding location in accordance with an ascending / descending state of the corresponding object, a visual extraction guide member provided in each of the suspension member mounting portions, and the medical material detection member A medical material storage management apparatus comprising: a control device that performs a management process of a medical material storage state based on the detection at the same time and operates any of the extraction guide members in response to an input of an extraction instruction.

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