JP3839954B2 - Medical equipment supply / recovery system for surgical equipment, medical equipment, etc. - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
  The present invention is a surgical instrument.・ Medical equipmentMedical deviceMaterialsIt is related to the improvement of the supply / recovery system, and in particular, the surgical plan or time of the day for sterilized surgical and medical equipment and consumables used for surgery and surgical procedures.Every momentCombined with operating room and treatmentIn the roomSafely carry in and handIn the artContaminated surgical deviceMaterialOptimal for safely transporting contaminated consumables to designated facilitiesDoctors with various surgical equipment and medical equipmentMedical equipmentLikeIt relates to supply and collection systems.
[0002]
[Prior art]
Generally, in a hospital where surgery is performed, there are multiple operating rooms, a sterilization room that cleans and sterilizes surgical instruments contaminated by surgical procedures for patients who are in operation or after surgery, and discards contaminated waste. Disposal facilities, storage facilities such as an aseptic room for storing sterilized surgical instruments in a sterilized state, and storage facilities for storing consumables used in surgery without contamination.
In hospitals equipped with such facilities, generally, surgical instruments contaminated by surgery are classified and placed in a predetermined container, and are manually transported to a designated facility for surgical instruments required for surgery. In accordance with the schedule of the surgery on the day, they are also appropriately sorted by hand so as to be in time for the surgery and transported from the designated facility to each operating room.
In addition, consumable supplies in the operating room are also transported from the designated facility to each operating room in the same manner as described above when the stock quantity falls below a specified value.
In surgical wards, etc., prepare medical equipment and consumables necessary for procedures to be performed at the rounds of the day, etc. in the same way as above, and contaminated equipment and consumables as above. Carried out to the designated facility.
Even in the above sterilization work, manual work is performed in various places.
[0003]
By the way, recently, a person carrying a medical instrument such as a surgical instrument contaminated by an operation is prevented from being infected by malignant bacteria present in the pollutant, and a clean medical equipment is contaminated by a person carrying it. Considering the safety of people engaged in sterilization work, etc., it has been considered to abolish manual work and automate each work and transport work.
As an example of the above automation, there is a prior art disclosed in Japanese Patent No. 2553463.
In this prior art, a controlled side optical communication device mounted on an unmanned traveling vehicle and an unmanned traveling vehicle that lays a guide route that guides the traveling route of the unmanned traveling vehicle via the sterilization apparatus and each ward, etc. It is formed so as to exchange optical signals with the control-side optical communication means arranged at the stop position, and the central control means is used to run / stop unmanned vehicles and carry in / out medical equipment and to sterilize treatment equipment. A predetermined operation command such as a process is selectively executed.
[0004]
[Problems to be solved by the invention]
By the way, in the above prior art, signals such as commands are transmitted by optical communication means to communicate. Such a ground facility using optical communication has the following problems because it is necessary to provide a facility at the stop position of the unmanned traveling vehicle so as to face the controlled optical communication device mounted on the traveling vehicle.
(1) An optical communication device on the ground side cannot be installed unless it is at a stop position of an unmanned traveling vehicle. For this reason, it cannot communicate with a traveling vehicle unless it is stopped.
(2) Communication is not possible even if a command needs to be transmitted to a traveling vehicle including an emergency.
(3) Since the central control means cannot communicate with the traveling unmanned vehicle, it is necessary to set a function for preventing collisions on the ground in advance, and efficient traffic control of the unmanned traveling vehicle. Cannot be executed.
(4) Information from unmanned vehicles cannot be executed unless it is a specific point on the travel line where the ground side optical communication device is installed. Even if the collision prevention function can be prevented by the collision prevention function installed in the unmanned vehicle, the function of the traffic system in the hospital may be paralyzed.
(5) If the transportation system is paralyzed, there is a risk that surgical equipment will not be brought into the operating room by the time of surgery.
(6) For the reason described in (4) above, it is necessary to limit the number of operating vehicles corresponding to the traveling route of the unmanned traveling vehicle.
(7) Since it is necessary to install the ground side optical communication device so as to face the controlled side optical communication device mounted on the unmanned traveling vehicle, it is necessary to limit the installation position of the ground side optical communication device. The degree of freedom of arrangement of facilities is limited.
(8) Since the ground side optical communication device is installed so as to face the controlled side optical communication device mounted on the unmanned traveling vehicle, there is a risk that communication cannot be performed if the stop position of the unmanned traveling vehicle is shifted.
(9) Also, in the above-mentioned publication describing the prior art, as clearly shown in the embodiment described with reference to FIG. 1, the operating room and sterilizing room, the sterilizing room and the aseptic room, the aseptic room and the operating room Since the same traveling vehicle conveys between them along the same traveling route, there is no guarantee that the sterilization carts are absolutely safe even if they do not interfere with each other.
In particular, it is dangerous if the carriage that transports the sterilization equipment interferes with the carriage that transports the contaminated equipment.
The present invention solves the above-mentioned problems (problems) of the prior art, improves the communication function between the ground management control side and the unmanned carriage, and also eliminates the risk of contamination of sterilized equipment and people by contaminated equipment. It is an object of the present invention to provide a system for supplying and collecting medical equipment such as surgical equipment that can be reliably carried into a predetermined facility or room before surgery or treatment.
[0005]
[Means for Solving the Problems]
  In order to solve the above-mentioned problems, the surgical instrument / medical instrument according to the present inventionMedicine including materialsIn the treatment equipment supply / collection system according to claim 1, a roundabout preparation room or a hospital in the hospital is provided.HandOperating room and surgical deviceMaterialVarious medical equipment includingofPrepared for the above rounds, equipped with storage facilities, storage facilities for various medical chemicals, storage facilities for various medical consumables, cleaning rooms, sterilization facilities for surgical instruments, and treatment facilities for contaminated waste RoomOr handOperating room and the above surgical instrumentsMaterialVarious medical equipment includingofStorage facility, storage facility for various medical chemicals, storage of various medical consumablesDoctor including settingConnected to the medical equipment storage facility, and rounds preparation roomOr handA route for unmanned vehicles for transporting the specified equipment by connecting the operating room to the surgical equipment cleaning room, sterilization facility, and contaminated waste treatment facility is provided, and the route is unmanned. A ground-side wireless communication function including a plurality of unmanned traveling vehicles equipped with an in-vehicle wireless communication function that travels by operation, performing a dialog communication with the in-vehicle wireless communication function, giving a predetermined command, and receiving a predetermined report At the predetermined location in the hospital, and this ground side wireless communication function allows the above round preparation roomOr handSelect a certain unmanned vehicle based on information sent from the operating roomFor transportationMedical equipment specified by giving this relevant unmanned vehicle for a predetermined medical purpose.KindThe above medical equipmentofStorageSet upThe round preparation room that collects and requestsOr handTransported to the operating room, while round preparation roomOr handFrom the operating room, out of the used contaminated equipment / contaminated waste, the contaminated equipment should be cleaned in the washing room and transported to the sterilization facility, and the contaminated waste should be transported to the contaminated waste treatment facility. Select a compatible unmanned vehicleFor transportationIt was configured to give a related predetermined traveling command.
  In this way, each round preparation room orHandVarious medical equipment, chemicals, and consumables required for various procedures performed in the operating room can be prepared in advance, and surgically-operated equipment and contaminated waste can be quickly carried out and sterilized.
  Further, in the medical chemicals storage facility as described in claim 2, sterilized equipment is stored in aseptic containers for each predetermined type and quantity so as to be preset or commanded. This facilitates the reuse of the equipment used and allows the sterilized instruments to be used in a state of being isolated from the contaminants.
[0006]
  In this case, as described in claim 3, the traveling path for the unmanned traveling vehicle disposed in the hospital is prepared for the round trip preparation in the operating room or the predetermined ward.In the roomStorage of specified stations and medical equipmentIn settingSurgical device that automatically travels between established stationsMaterialPreparation for rounds of unmanned vehicles to be transported and operating rooms or designated wardsIn the roomPredetermined station and surgical equipment and contamination disposalThingCollectionIn settingA sterilized and clean surgical device is formed by separating each traveling path from a traveling path of an unmanned traveling vehicle that automatically travels between predetermined stations and transports surgically-operated equipment and contaminated waste.MaterialContaminated surgical device after treatmentMaterialTherefore, there is no fear of contamination.
  Further, as described in claim 4, preparation for round-trip of the operating room or the predetermined wardIn the roomStorage of specified stations and medical equipmentIn settingSurgical device that automatically travels between established stationsMaterialThe unmanned vehicle to be transported is a surgical device stored in a sterile container.MaterialIt is an unmanned vehicle equipped with a rack to be loaded, and is prepared for round trips in the operating room or designated ward.In the roomPredetermined station and surgical equipment and contamination disposalThingCollectionIn settingAn unmanned vehicle that automatically moves between predetermined stations and transports surgically-operated equipment and contaminated waste is coupled to a wheeled unloading wagon equipped with surgically-contained equipment and containers containing contaminated waste If an unmanned traveling vehicle is formed so as to be towed, a transport system suitable for the nature of each load can be formed.
[0007]
  In addition, as described in claim 5, in the medical equipment supply / recovery system, the ground side wireless communication function designates or designates a predetermined unmanned traveling vehicle based on a command of a higher management function. Without a destination station for a particular unmanned vehicle, or a work order that includes the destination station name.Where it is a decreeCertain command items are transmitted and transmitted, data transmitted from the in-vehicle wireless communication function installed in the unmanned traveling vehicle is received and transmitted to the upper management function, and the in-vehicle wireless communication function installed in the unmanned traveling vehicle Receives command items for the unmanned traveling vehicle transmitted from the communication function and transmits them to the higher-level vehicle-mounted control function, and transmits report data transmitted from the higher-level vehicle-mounted control function to the ground side wireless communication function As a result, it is possible to realize appropriate driving control of the unmanned traveling vehicle, and to realize efficient transportation work.
[0008]
  In addition, as described in claim 6, the above-mentioned ground side wireless communication function enables communication with an unmanned traveling vehicle to be communicated at an arbitrary position on the traveling road along the traveling road of the unmanned traveling vehicle. If it is formed so that a minimum number is arranged at an appropriate position, economical and accurate communication between the management and control function on the ground side and the unmanned traveling vehicle becomes possible.
  Furthermore, as described in claim 7, a function is provided in which a plurality of antennas are connected to one or both of the ground side wireless communication function and the in-vehicle wireless communication function, and the antenna having the optimum reception sensitivity is automatically selected and communicated.KedadaForming an diversity function enables more accurate communication.
  Further, as described in claim 8, the transmission radio wave by the ground side wireless communication function includes a digital code or a subcarrier.ATherefore, if the unmanned traveling vehicle of the signal transmission destination is designated, the target unmanned traveling vehicle to be commanded on the ground side can be correctly selected and communicated.
  Further, as described in claim 9, when communication is prevented by specifying or controlling the timing of transmission from the in-vehicle wireless communication function, accurate communication can be executed.
  In addition, as described in claim 10, when an antenna formed so as to be extended along the unmanned traveling vehicle traveling path is used for the ground side wireless communication function, it becomes possible to communicate with weak radio waves, and As described in item 11, when transmission is performed by electromagnetic induction, communication can be efficiently performed even at a low frequency.
[0009]
  In addition, as described in claim 12, for each predetermined facility in the hospital, a computer terminal provided with a management / control function of this medical equipment supply / recovery system is provided, and by this terminal, When configured to execute the management and control functions of this medical equipment supply / recovery system,SituationCorrespondingly, unmanned travelingcar'sMedical equipment supply / recovery system is ready for early operation.
  Furthermore, if the automatic handling function is provided in the medical equipment handling facility including each predetermined container in the hospital as described in claim 13, the work of the worker can be reduced.
  Since the present invention is configured as described above, a plurality of unmanned vehiclesTheRisk of contaminating sterile medical equipment through proper and effective operationAlsoIt can be transported to the necessary facilities by the required time, and the contaminated equipment can be transported safely to the necessary facilities.
  In addition, even if an unmanned traveling vehicle breaks down in the middle, the stop position can be immediately grasped, so that early processing is possible.
[0010]
DETAILED DESCRIPTION OF THE INVENTION
  Hereinafter, an embodiment of a supply / recovery system for surgical instruments, medical instruments and the like according to the present invention will be described in detail with reference to each of FIGS.
  FIG. 1 shows an example in which the present invention is applied to a hospital surgical department.
  This figure shows an example in which an operating room and a warehouse room are provided on the floor and a central material room equipped with a sterilization facility is provided on the lower floor.
  In the figure, 50 indicates OP1 toOP3Reference numeral 51 denotes a station conveyor for carrying surgical instruments conveyed by an unmanned traveling vehicle (hereinafter abbreviated as a traveling vehicle) as will be described later.
  In the middle part of the station conveyor 51, a sterilization facility outside the conveyed product is provided corresponding to the conditions.
  10 is a traveling vehicle system that transports surgical instruments and consumables to the operating room, 11 is a loading traveling vehicle that automatically travels using a battery as a driving source, 12 is a loading rack that is mounted on the loading traveling vehicle 11, 13 Is a charging facility for charging a battery (not shown) which is a drive source of the carrying-in traveling vehicle, and 14 is a guide wire laid on the traveling path of the carrying-in traveling vehicle. In response to the conditions of the traveling vehicle system, for example, when there are a large number of traveling vehicles, the guide line 14 is provided with a standby line as necessary in addition to forming a double line or providing a retreat line.
  The carry-in rack 12 loaded on the carry-in vehicle 11 is formed so as to be mounted on the vehicle by an automatic handling function such as an automatic loading robot even if it is formed integrally with the vehicle according to the conditions of the equipment. Also good.
[0011]
The guide wire 14 corresponds to the guide method of this traveling vehicle system, and, for example, in the case of an AC frequency guide method of about 3 kHz, a lead wire is laid and travels the AC frequency supplied from the carry control function 15 for carry-in. Detected by a frequency sensor (not shown) mounted on the underside of the car, the traveling vehicle travels so as to maintain a guide wire in the center of the frequency sensor. The traveling vehicle travels so as to be detected by an optical sensor (not shown) mounted on the lower surface of the vehicle and maintain a guide wire in the center of the optical sensor. In the case of other guidance methods, the traveling vehicle is driven by a device corresponding to each guidance method.
Further, at a station to be stopped, a branch point to be branched, etc., a marker (not shown) according to a predetermined method such as a light reflecting plate is laid on the ground, and an optical sensor (mounted on the lower surface of the traveling vehicle) Detected by a sensor corresponding to the type of marker such as (not shown), and along the guide wire 14 in accordance with a command transmitted wirelessly from the ground side wireless communication function 16 attached to the transport control function 15 as described later. And arrive at the target station and stop.
[0012]
20 is a traveling vehicle system that carries out surgical instruments and consumables contaminated by surgery from the operating room, 21 is a traveling vehicle that automatically travels using a battery as a drive source, and 22 is coupled to the traveling vehicle for transportation. An unloading wagon with wheels, 23 is a charging facility for charging a battery (not shown) as a drive source of the unloading traveling vehicle, and 24 is a guide wire laid on the traveling path of the unloading traveling vehicle.
In response to the conditions of the traveling vehicle system, for example, when there are a large number of traveling vehicles, the guide line 24 is provided with a standby line as necessary in addition to forming a double line or a evacuation line.
The unloading traveling vehicle 21 uses a traveling function equivalent to that of the above-described traveling traveling vehicle 11 according to a command transmitted wirelessly from the ground-side wireless communication function 26 attached to the unloading transport control function 25. Arrive at the target station and stop.
[0013]
FIG. 2 illustrates a carry-in traveling vehicle, and FIG. 3 illustrates a carry-out traveling vehicle.
In FIG. 2, 11 is a carrying vehicle, 12 is a carrying rack, 11a is an antenna connected to an in-vehicle wireless communication function (not shown), 12a is loaded on the carrying rack 12, and surgical instruments are aseptically placed. It shows aseptic containers such as consumables to be transported in a state or aseptically packed.
The carry-in rack 12 may be formed integrally with the traveling vehicle according to equipment conditions or the like, or may be formed so as to be mounted on the traveling vehicle by an automatic handling function.
[0014]
In FIG. 3 (A), 21 is an unloading traveling vehicle, and 21a is an antenna connected to an in-vehicle wireless communication function (not shown). FIG. 5B shows a state in which an unloading wagon 22 is connected to the unloading traveling vehicle 21, 22 a is a wheel for manually moving the unloading wagon 22, and 22 b and 22 c are unloaded to the unloading wagon 22. Containers that are loaded and sealed to prevent the spread of harmful bacteria to the outside for transporting surgical instruments and consumables contaminated by surgery are shown.
In order to prevent the unloading wagon 22 from interfering with the antenna 21a, even if the unloading traveling vehicle 21 and the unloading wagon 22 are configured to approach each other from a certain direction according to the conditions, the antenna 21a should be tilted. You may comprise.
[0015]
An antenna (not shown) connected to the ground-side wireless communication functions 16 and 26 is disposed at an appropriate position in the vicinity of the traveling path of each traveling vehicle. When an antenna (not shown) connected to the ground-side wireless communication functions 16 and 26 is used along the guide path of each traveling vehicle or as a shared guide line, particularly from the ground side. When the electromagnetic induction method is adopted for the transmission of the above, it is natural that the antennas 11a and 21a are disposed at appropriate positions below the traveling vehicle main body.
In addition, according to the conditions of the traveling road of the traveling vehicle system, diversity can be achieved by means such as automatically installing a plurality of antennas on each or any traveling vehicle, and automatically selecting and communicating with a highly sensitive antenna. You may make it employ | adopt a function appropriately.
The ground-side wireless communication function may also employ a diversity function such as appropriately arranging an appropriate number of antennas as necessary and selecting and using them in accordance with the position of the traveling vehicle to be communicated.
[0016]
In FIG. 1, 61 is a waste disposal chamber for processing contaminated consumables carried out by the unloading traveling vehicle 21, 62 is a cleaning chamber for washing contaminated surgical instruments similarly unloaded by the unloading traveling vehicle 21, and 63 is an operation. The upper central material chamber, 64 is a sterilization chamber equipped with a sterilization facility, and 65 is a lower central material chamber.
Reference numeral 66 denotes a dam waiter for transferring surgical instruments to be sterilized to the sterilization chamber 64, and 67 denotes a first computer terminal for business management.
[0017]
  In the figure, 70 is a warehouse room for storing and managing surgical instruments, medicines, consumables, etc. used in the operating room, and 71 is an equipment warehouse having a manual or automatic picking function.
  The sterilized surgical instruments are classified and stored in a sterile container according to a preset condition or a command presented by the first computer terminal 67 or the like in accordance with a surgical plan. The product is transferred to the equipment warehouse 71 by the auto dam weight 73 and managed.
  In addition, medicines, consumables, and the like are also in a sterile state from the central warehouse of the hospital to the equipment warehouse 71 in accordance with a preset management standard or a command presented by the first computer terminal 67 or the like in accordance with a surgical plan. To be managed.
  The inventory parts necessary for the surgery performed on the day presented by the second computer terminal 74 or the like are automatically picked (not shown).Loading rack12 are automatically gathered and loaded on the machine 12 and transferred to the equipment loading station 76 by the delivery conveyor 75.
  The surgical supplies including the surgical instruments loaded on the delivery conveyor 75 transferred to the equipment loading station 76 are loaded on the above-described carrying vehicle 11 by a rack loading machine (not shown) and each commanded by radio. Transported to the operating room.
  Loading rackWhen 12 is comprised integrally with the carrying vehicle 11 for carrying in, said operation | work is performed manually.
  Reference numeral 80 denotes a nurse's room and 81 denotes a third computer terminal, which has a function of receiving an operation plan and instructing delivery of surgical instruments necessary for the corresponding operation based on the operation plan.
[0018]
FIG. 4 shows an example of a surgical part different from that shown in FIG. This figure shows an example in which a central material room equipped with a surgical section and sterilization equipment is provided on the same floor.
In the figure, since most of the objects correspond to those in FIG. 1, the facilities corresponding to them and the corresponding facilities use the same reference numerals as those in FIG. 1, and detailed description thereof will be omitted.
In addition, 14a and 14b are guide lines of the carrying vehicle which formed the reciprocating two lines, 50-1 is seven operating rooms of OP5-OP11, 63 is a central material room.
[0019]
Next, the configuration of the information processing system in the facility will be described with reference to FIG. In FIG. 5, the facilities shown in FIGS. 1 and 2 and the corresponding facilities use the same reference numerals as those in FIGS.
In FIG. 5, reference numeral 1 denotes a host computer which is a high-order management function of the supply / recovery system for surgical instruments / medical instruments used for the management and operation of the entire hospital, and 2a, 2b,. A host computer terminal (hereinafter referred to as a host terminal) that is arranged in a pharmacy, an operation department, etc. and makes a call with a host computer, 2A is arranged in an operation department, and receives information such as an operation plan as described later, It is a host terminal that performs processing and monitoring of specialized functions in the surgical department such as in charge of transmission of report information on surgical results.
[0020]
  Reference numeral 3 denotes a surgical department host computer for processing and recording of dedicated work in the surgical department, which manages and controls the traveling vehicle systems 10 and 20, inventory management and control of the equipment warehouse 71, etc. 65, first and second computer terminals 67 and 74 for business management, a third computer terminal 81 for receiving a surgical plan, etc., and computer terminals installed at key points such as operating rooms not shown in the drawings. It is connected.
  The operating section host computer 3 includes a transport control function 15 for carrying in,For importA ground side wireless communication function 16 and a transport control function 25 for carrying out;For exportIn addition to being connected to the ground side wireless communication function 26 and installed at the above-mentioned position, a label printer 71a for label issuance to be attached to inventory, goods to be delivered, display CRT 71b for displaying necessary names and quantities of goods to be received, etc. Are connected to the lower center material chamber 65 and the like.
  The transport control function 15 is connected to various management / control functions of the equipment warehouse 71, related functions 50a of each operating room, a travel control function corresponding to the guidance control function of the loading traveling vehicle 11 (not shown), and the like. Reference numeral 16 is connected to a transmission / reception function 16a for connecting antennas arranged at appropriate positions.
  The carry control function 25 for unloading is connected to a travel control function corresponding to the guidance control function of an unmanned traveling vehicle (not shown), and the ground-side wireless communication function 26 is connected to a transmission / reception function 26a for connecting antennas arranged at appropriate places. It is connected.
[0021]
Next, an example of means for transmitting operation plan information in the above facility will be described with reference to FIG.
In the figure, the operation plan is input from the host terminals 2a to 2d arranged in each medical office and the determined operation plan is transmitted to the computer terminal 81 in the nurse's room. In the terminal 81, as shown in FIG. 6, the operation schedule is confirmed and necessary information is transmitted to the host computer, the operation plan table distributed to the hospital, the equipment slip to be sent to the central material room, etc. are output, The necessary data is transmitted to the carry-in transfer control function 15 shown in FIG.
[0022]
Next, FIG. 7 thru | or FIG. 9 has shown the implementation flow example regarding conveyance of the equipment required for the surgery in said facility.
In this hospital, for example, as shown in FIG. 7, preparations for surgery are made three days before based on the determined surgical plan.
In FIG. 7, arrows indicate movement to equipment, dotted arrows indicate the flow of information that is moved within the computer or between them, and circles indicate the completion point of the work.
That is, the necessary equipments are assembled in the equipment warehouse 71 by 9 o'clock on the day, and are carried out to each operating room in time.
[0023]
Next, the work of the day is described in FIG. The relationship between the arrows and the number of circles is the same as in FIG.
In the figure, the point proceeding from the first 14 to the lower 14 on the dotted line is to instruct the delivery of the surgical equipment for the next operation, and proceeding from the last 14 to the lower 14 on the dotted line. Instructs the delivery of surgical equipment for the next operation.
Reference numeral 15 denotes storage work.
[0024]
The work of each department in the flow shown in FIGS. 8 and 9 is shown in FIG.
The name shown at the top of FIG. 9 indicates the name of the department in charge in the lower column. That is, in this figure, the operations in the doctor in charge and the nurse's room, operating room, warehouse room, central material room, and sterilization room are described.
The circled numbers in this figure correspond to the circled numbers shown in FIGS. 7 and 8 described above, the double line is for articles, the thick line is for articles by automatic function, the thin line is for conveying articles, and the dotted arrow is for moving information. Lines are marked, and dotted line frames indicate work items for automatic functions.
In this figure, 11 (departure) to 12 (entry) are responsible for the work of the carry-in traveling vehicle 11, 14 (instrument collection preparation / instruction) to 15 (instrument sorting / washing) of the unloading travel vehicle 21. Each person in charge is shown.
[0025]
  Next, the operations of the carrying vehicle 11 and the carrying vehicle 21 will be described in detail with reference to the above flow.
  From the maternity roomSymbols shown in circles 14When the exit instruction is issued, the operation of the transport control function 15 for loading or / and the second computer terminal 74The issue instructionIn the warehouse room 70, the stock parts necessary for the operation to be performed in the designated predetermined operating room are automatically or manually sent from the equipment warehouse 71 by means corresponding to the warehouse system. The equipment stored in the container is picked as it is in the container, transferred by the delivery conveyor 75, loaded on the loading rack 12, and transferred to the equipment loading station 76, for example.
  On the other hand, the transport control function 15 selects and calls the loading traveling vehicle 11 that can reach the equipment loading station 76 in the shortest time via the ground side wireless communication function 16. In the selection of the carrying vehicle 11, the position of each carrying vehicle 11 reported to the transmission / reception function 16 a connecting the antennas arranged at appropriate positions and the execution status of the work are recorded. You may select from among them, or you may make a simultaneous call to each carrying vehicle 11 and select an appropriate carrying vehicle 11 based on the reply.
[0026]
When the carrying vehicle 11 arrives at the equipment loading station 76, or when the carrying vehicle 11 has arrived at the equipment loading station 76 in advance, the collected equipment is loaded on the carrying vehicle 11 and loaded. When completed, a departure command is instructed to the carrying vehicle 11 according to a predetermined operation.
That is, in the equipment loading station 76, when the surgical equipment is loaded on the carry-in rack 12, the carry-in rack 12 is mounted on the carry-in traveling vehicle 11 by the loading machine, and the carry-in rack 12 is carried in the carry-in run. In the case of being configured integrally with the vehicle 11, the surgical instruments and the like stored in the respective containers are manually loaded.
Based on the departure command, the carry-in traveling vehicle 11 operates according to the command transmitted from the transport control function 15 via the ground-side wireless communication function 16 and the marker set along the guide wire 14 in the commanded operation room. It automatically travels to the front of the station conveyor 51 for loading equipment and stops.
When the traveling vehicle 11 is stopped in front of the operating equipment delivery station conveyor 51 in the designated operating room, the traveling vehicle 11 is designated to the transport control function 15 via the ground side wireless communication function 16. Since the arrival at the operating room is reported, the transport control function 15 further reports to the operating unit host computer 3, and the operating unit host computer 3 arrives at the operation terminal of the target operating room. Is displayed.
The transported surgical equipment is manually or automatically transferred to the operating room after sterilization outside the container containing the surgical equipment transported according to the conditions of the equipment using the station conveyor 51.
[0027]
The moving traveling vehicle 11 is moved to the current location based on a preset condition or a command transmitted from the transport control function 15 via the ground-side wireless communication function 16, that is, for example, a recently detected marker. The name is transmitted to the transport control function 15 via the ground side wireless communication function 16.
When the detected marker indicates that the travel guide line is connected to another guide line or crosses another guide line, a signal for requesting permission to travel is transmitted to the transport control function 15, and transport control is performed. The function 15 confirms that there is no traveling vehicle having a risk of interfering with the carrying-in traveling vehicle 11 and transmits permission to continue traveling, and the carrying-in traveling vehicle 11 continues traveling.
In this case, the presence or absence of a traveling vehicle that exists in parallel is checked by means such as a detection sensor that uses lateral ultrasonic waves in the traveling vehicle. A collision prevention function may be provided by an appropriate means such as entering the connection point to be connected.
Further, when the position of each carrying vehicle 11 is confirmed by the above-described means by the transport control function 15, the arrival at the destination stayon is notified in advance, so that the work in the operating room or the like that is the destination can be performed. It can be executed in time with arrival.
[0028]
When the carry-in is completed, the completion of the carry-out is reported to the transfer control function 15 by a predetermined means. Therefore, the transfer control function 15 instructs the next carry-in traveling vehicle 11 through the ground side wireless communication function 16 and The traveling vehicle starts according to the instructions.
[0029]
When the surgery is scheduled to be completed, a transport wagon and a transport container 25 to be added as necessary using a computer terminal in the operating room are transferred via the surgical host computer 3 or directly. To request.
When the preparation of the request contents is completed automatically or manually in response to the request contents, the transport control function 25 commands the unloading traveling vehicle via the ground side wireless communication function 26, and the unloading wagon and the unloading container. Etc. and transport to the operating room.
When the operation is completed, the contaminated surgical instrument, the contaminated consumables to be discarded, etc. are classified and loaded into the unloading wagon 22 respectively.
When loading on the unloading wagon 22 is completed, it is moved to a mark position formed on a predetermined guide line, and in accordance with conditions preset in the transport system, that is, for example, by a business management computer terminal in the operating room The carrying control function 25 reports to the unloading transport control function 25. The transport control function 25 selects an appropriate unloading traveling vehicle 21 by means similar to the above-described loading traveling vehicle system via the ground side wireless communication function 26, and reports Command to travel to the operating room unloading station (not shown). The unloading traveling vehicle 21 that has arrived at the commanded unloading station (not shown) enters under the conditions set in advance in the transfer system, that is, for example, under the unloading wagon 22 placed at a predetermined position. Then, the unloading wagon 22 is detected and stopped at a predetermined position, a pin is taken out and connected to the unloading wagon 22, and then the treatment station station provided in the vicinity of the waste disposal chamber 61 and the cleaning chamber 62 which are target stations. Start towards (not shown).
If the unloading traveling vehicle 21 has arrived in advance at an unloading station (not shown), the unloading wagon 22 may be manually moved to a connection position with the unloading traveling vehicle 21.
[0030]
The unloading traveling vehicle 21 connected with the unloading wagon 22 is controlled to travel in the same manner as the system of the loading traveling vehicle 11 described above, and travels toward a processing station (not shown).
When the unloading traveling vehicle 21 arrives at a processing station station (not shown), the unloading traveling vehicle 21 is in contact with the operating room designated by the transfer control function 25 via the ground-side wireless communication function 26. It is possible to send a command in preparation for carrying out the next contaminated instruments and consumables from the operating room.
Further, the transfer control function 25 is displayed on a terminal (not shown) provided near the processing station station (not shown) or the first computer terminal 67 for business management.
In this case as well, as with the traveling vehicle 11, the arrival vehicle may be notified in advance before arrival.
In addition, although not shown, a process of guiding and processing an unmanned vehicle carrying a contaminated medical device wirelessly to a sterilization processing apparatus may be provided.
The unloading wagon 22 is disconnected from the unloading traveling vehicle 21, the mounted contaminated consumables are discarded in a predetermined facility of the filth disposal chamber 61, and the contaminated instruments are washed in the washing chamber 62 and then the sterilization chamber 64. After being sterilized by this sterilization apparatus, it is stored in a sterilization container under a preset condition or a combination of commanded instruments, and is carried into the equipment warehouse 71.
After that, it will be issued based on the surgical plan.
[0031]
When the unloading is completed, the unloading completion is reported to the transfer control function 25 by a predetermined means. Therefore, the transfer control function 25 instructs the next unloading traveling vehicle 21 through the ground side wireless communication function 26, and The traveling vehicle starts according to the instructions.
[0032]
In the above operation system, the carry-in transfer control function 15 and the carry-out transfer control function 25 record the operating state of the traveling vehicle in each processing, for example, the running time or the running distance, and are set in advance. The vehicle traveling under the above conditions travels to a station provided in the battery charging facilities 13 and 23 to perform automatic charging.
Each transfer control function 15 and 25, when it is confirmed that the automatic charging has been completed, is put into each of the above operations.
For determining the charging timing, a battery storage state monitoring function is provided in the traveling vehicle itself, and when this monitoring function becomes a preset condition, it is reported to the transport control function via the respective ground side communication function. Charging may be executed according to the control of the transport control function.
[0033]
The above description shows the basic configuration for realizing the technical idea of the present invention, and is applied appropriately as follows, corresponding to the scale and management system of the hospital to which the present invention is applied, Can be modified.
{Circle around (1)} In the above description, only the operation system in the hospital has been described as an application target of the present invention. However, the present invention can be applied to a transport system for the entire hospital.
{Circle around (2)} The carrying vehicle has been described as being rack-mounted, and the carrying vehicle has been described as a wagon tow type, but the traveling vehicle may be of any type.
(3) Although it has been described that the carry-in traveling vehicle and the unloading traveling vehicle are separately provided, they may be operated by traveling vehicles of the same type depending on the conditions of the transport system.
(4) The wireless communication function for managing and controlling the traveling vehicle may be set appropriately in accordance with the conditions of the target transport system.
(5) In order to select and communicate with a specific traveling vehicle from the ground management side, it is necessary to provide means for attaching a code digitally to the transmission signal or using subcarriers of different frequencies for the carrier wave. It ’s fine.
(6) To communicate with a specific traveling vehicle without interference under the condition that multiple traveling vehicles use the same transmission frequency, select the target traveling vehicle from the ground management side and prohibit transmission of non-selected vehicles Communication may be performed by shifting the timing by providing means such as performing transmission by specifying the time, detecting presence / absence of radio waves of the same frequency before transmission, and transmitting if not detected.
(7) The warehouse room 70 itself may be an aseptic room or a sterilization facility room, and an interference room may be provided between the unmanned traveling vehicle station.
(8) Standardize sterile containers and containers that contain contaminants after surgery. Collect and collect contaminants after surgery in a sterile container used before surgery, and use it as a sterile container after washing and sterilization. In addition, the automatic handling apparatus at each predetermined station may be manufactured in accordance with the container shape, size and weight.
[0034]
【The invention's effect】
  Since the medical device supply / collection system for surgical instruments and medical devices of the present invention is configured as described above, the following excellent effects can be obtained in hospital facilities to which the present invention is applied.
(1) As described in claim 1, when configured to have at least one terrestrial wireless communication function for performing interactive communication with an in-vehicle wireless communication function installed in an unmanned traveling vehicle disposed in the hospital, It becomes possible.
(a) Able to converse with ground facilities at any station or place.
(b) Even in a system using a plurality of traveling vehicles, traveling vehicle management and control can be easily performed.
(c) Location of vehicle and failure status and performance of workSituationMonitoring is always possible.
(d) Therefore, the breakdown of the traveling vehicleRawCorrespondingly, the stop position can be immediately grasped and early processing is possible.
(e) Multiple traveling vehiclesTheWhen operating on complex roads,SuddenSafe and efficient management and control without danger.
(f) A set of antennas can communicate with a traveling vehicle within a 50 meter radius.
(g) The ground side wireless communication function may be small for communication between a plurality of stations and a traveling vehicle.
(h) The above functions can be achieved with a simple communication facility.
(i) A large amount of information can be communicated.
(j) Even if an unmanned vehicle stops due to a failure, the stop position can be immediately grasped, so that early processing is possible.
(k) By operating multiple unmanned vehicles appropriately and effectively, aseptic medical equipment can be transported to the necessary facilities by the required time without risk of contamination, and contaminated equipment can be safely Can be transported to necessary facilities.
  Therefore, the risk of nosocomial infection can be reduced or prevented, and the management of various equipment used in the hospital is facilitated and efficient operation can be achieved.
(2) As described in claim 2, in a medical equipment storage facility, sterilized equipment is stored in a sterile container for each predetermined type and quantity so as to be preset or commanded. Such a configuration facilitates the reuse of the equipment used and allows the sterilized instruments to be used in a state of being isolated from the contaminants.
(3) As described in claim 3, preparations for rounds of operating rooms or prescribed wardsIn the roomStorage of specified stations and medical equipmentIn settingSurgical device that automatically travels between established stationsMaterialPreparation for rounds of unmanned vehicles to be transported and operating rooms or designated wardsIn the roomPredetermined station and surgical equipment and contamination disposalThingCollectionIn settingA sterilized and clean surgical device that is automatically formed between predetermined stations and separated from the route of an unmanned vehicle that transports surgically-operated equipment and contaminated waste.MaterialContaminated surgical device after treatmentMaterialTherefore, there is no fear of contamination.
(4) As described in claim 4, preparations for round trips in the operating room or specified wardIn the roomStorage of specified stations and medical equipmentIn settingAutomatically run between the established stationshandSurgical instrumentMaterialThe unmanned vehicle to be transported is a surgical device stored in a sterile container.MaterialIt is an unmanned vehicle equipped with a rack to be loaded, and is prepared for round trips in the operating room or designated ward.In the roomPredetermined station and surgical equipment and contamination disposalThingCollectionIn settingAn unmanned vehicle that automatically moves between designated stations and transports surgically-operated equipment and contaminated waste is towed to a wheeled wagon carrying containers for surgically-operated equipment and contaminated waste. If the unmanned traveling vehicle formed as described above is used, it is possible to form a transport system suitable for the nature of each load.
(5) As described in claim 5, from the ground side wireless communication function, a destination for a specific unmanned traveling vehicle is designated based on a command of a higher-level management function or not designated. Work life including the station or destination station nameWhere it is a decreeCertain command items are transmitted and transmitted, data transmitted from the in-vehicle wireless communication function installed in the unmanned traveling vehicle is received and transmitted to the upper management function, and the in-vehicle wireless communication function installed in the unmanned traveling vehicle When receiving a command matter for the unmanned traveling vehicle transmitted from the communication function and transmitting it to the upper in-vehicle control function, and transmitting the report data transmitted from the upper in-vehicle control function to the ground side wireless communication function Therefore, it is possible to realize appropriate driving control of unmanned vehicles, and to realize efficient transportation work.
(6) As described in claim 6, the ground side wireless communication function is suitable for enabling communication with a communication target unmanned vehicle at an arbitrary position on the traveling road along the traveling road of the unmanned traveling vehicle. If it is formed so that a minimum number is arranged at a proper position, economical and accurate communication between the management / control function on the ground side and the unmanned traveling vehicle becomes possible.
(7) As described in claim 7, a function of connecting a plurality of antennas to one or both of the ground side wireless communication function and the in-vehicle wireless communication function and automatically selecting and communicating with the antenna having the optimum reception sensitivity is provided.KedadaForming an diversity function enables more accurate communication.
(8) As described in claim 8, the transmission radio waves by the ground side wireless communication function include a digital code or a subcarrier.ATherefore, if the unmanned traveling vehicle of the signal transmission destination is designated, the target unmanned traveling vehicle to be commanded on the ground side can be correctly selected and communicated.
(9) As described in claim 9, when communication is prevented by specifying or controlling the transmission timing from the in-vehicle wireless communication function, accurate communication can be executed.
(10) As described in claim 10, if an antenna formed so as to extend along the unmanned vehicle traveling path is used for the ground side wireless communication function, communication can be performed with weak radio waves.
(11) As described in claim 11, when transmission from the ground side wireless communication function is an electromagnetic induction system, communication can be efficiently performed even at a low frequency.
(12) As described in claim 12, if the transfer of the conveyance command to and from the hospital is performed using a computer terminal, the information transmission becomes quick and reliable, and as described in claim 13. If the automatic handling function is adopted, systematic transportation is possible, and the labor of the chief and nurse can be reduced.
  Therefore, the chores of the chief and nurse can be reduced and the original work can be concentrated.
[Brief description of the drawings]
FIG. 1 is a perspective view of a hospital surgical department facility to which a medical equipment supply / recovery system such as surgical equipment according to the present invention is applied.
FIG. 2 is a perspective view of an unmanned traveling vehicle applied to a system for supplying and collecting medical equipment such as surgical equipment according to the present invention.
3 is a perspective view of an example of an unmanned traveling vehicle different from FIG. 2 applied to a medical equipment supply / recovery system such as a surgical instrument according to the present invention. FIG. 3 (A) shows the main body of the unmanned traveling vehicle. (B) shows the state of the driving | running | working attitude | position which couple | bonded the unloading vehicle main body with the wagon with a wheel.
FIG. 4 is a perspective view of a hospital operation unit facility different from FIG. 1 to which a medical equipment supply / recovery system such as surgical equipment according to the present invention is applied.
FIG. 5 is a schematic system diagram of an example of an information function configuration including a wireless communication function for an unmanned traveling vehicle applied to a medical equipment supply / collection system such as a surgical equipment based on the present invention.
6 is a system diagram showing main terminals and issue information examples in the information function configuration shown in FIG. 5. FIG.
7 is a schematic flow diagram showing an example in the case of performing a surgical operation plan in the information function configuration shown in FIG. 5 in the configuration of the surgical unit shown in FIG. 1 or FIG.
8 is a schematic flow diagram on the day of surgery corresponding to the flow diagram shown in FIG.
FIG. 9 is a schematic flow diagram for explaining work in related departments in a hospital corresponding to the flow diagrams shown in FIGS. 7 and 8;
[Explanation of symbols]
1: Host computer
2a to 2d: Host computer terminals (host terminals)
2A: Host terminal with surgical section
3: Host computer for surgical department
10: Traveling vehicle system
11, 21: Traveling vehicle
12: Loading rack (rack)
13, 23: Charging facilities
14, 14a, 14b, 24: Guide wire
15, 25: Transport control function
16, 26: Ground side wireless communication function
16a, 26a: transmission / reception function
22: Carrying wagon with wheels
50, 50-1: Operating room
50a: Operating room related functions
51: Station conveyor
61: Waste disposal room
62: Cleaning room
63, 65: Central material room
64: Sterilization room
66: Dam waiter
67, 74, 81: Computer terminal
70: Warehouse room
71: Equipment warehouse
72: Warehousing conveyor
73: Autodam waiter
75: Delivery conveyor
76: Equipment loading station
80: Nurse's room

Claims (13)

And rounds preparation room or surgery room in the hospital,
And a variety of medical equipment storage facilities, including the Surgical material, storage and facilities of various types of medical chemicals, storage and facilities of various types of medical consumables, and cleaning chamber, a sterile facility of surgery already equipment such, treatment of contaminated waste Facilities for
And the rounds preparation room or surgery room, and various medical equipment of the storage facilities, storage facilities of various types of medical chemicals, storage facilities of medical療器material class, including the storage facilities of various types of medical consumables including the Surgical material the knot, and rounds preparation room or surgery room surgery already equipment such unmanned vehicles traveling path for conveying the wash chamber and sterilization facilities and contaminated waste processing facilities and by connecting the predetermined equipment such Provided with a plurality of unmanned traveling vehicles equipped with an in-vehicle wireless communication function for traveling unmanned operation on the traveling road,
Perform interactive communication with the in-vehicle wireless communication function, give a predetermined command, and have a ground side wireless communication function to receive a predetermined report in a predetermined position in the hospital,
The ground side wireless communication function, and gives a predetermined travel command associated with transfer by selecting a predetermined unmanned vehicle on the basis of the information transmitted from the rounds preparation room or surgery room, the unmanned vehicle the medical instrument such specified to correspond to a predetermined medical purposes transported into rounds preparation room or surgery room to request to collect et or storage facility of the medical equipment such, whereas, rounds preparation room or surgery room From the used contaminated equipment / contaminated waste, the contaminated equipment is cleaned in the washing room and transported to the sterilization facility, and the contaminated waste is transported to the contaminated waste treatment facility. A medical equipment supply / collection system for surgical equipment, medical equipment, etc., wherein an unmanned traveling vehicle is selected and a predetermined traveling command related to transportation is given. In the medical equipment storage facility, sterilized equipment is stored in a sterile container for each predetermined type and quantity so as to be preset or commanded. 1 medical equipment such supply and recovery system, such as surgical instruments and medical equipment as claimed. The route for unmanned vehicles arranged in the hospital is
The traveling path of an unmanned vehicle for transferring the operating room or a predetermined Ward Surgical material automatically travels between predetermined stations provided in storage facilities of a given station and medical equipment such provided in rounds preparatory chamber,
Unmanned transferring surgery already equipment such or contaminated waste operating room or a predetermined station provided in rounds preparation room of a given ward between predetermined stations provided in the recovery facility surgery already equipment such or contaminated waste by automatic travel 3. The medical equipment supply / collection system for surgical equipment / medical equipment and the like according to claim 1 or 2, wherein each travel road is formed separately from a travel road of a traveling vehicle. Unmanned vehicle to transfer the surgical instrument material automatically travels between predetermined stations provided in the storage facilities of a given station and medical equipment such provided in rounds preparation room of the operating room or a predetermined wards were housed in a sterile container an unmanned vehicle for mounting the rack for stacking surgical material, between predetermined stations provided in the recovery facility operating room or a predetermined station provided in rounds preparation room of a given ward surgery already equipment such and contaminated waste An unmanned vehicle that automatically travels and transports surgically-operated equipment and contaminated waste is formed to be connected and pulled by a wheeled transport wagon equipped with containers containing surgically-operated equipment and contaminated waste A system for supplying and collecting medical equipment such as surgical equipment and medical equipment formed as an unmanned traveling vehicle according to claim 3. From the ground side wireless communication function, and specifies the predetermined unmanned vehicle on the basis of a command of the upper management functions, or without specifying, destination station for the particular unmanned vehicle, or in the work instruction including a destination station name Transmits and transmits certain predetermined command items, receives transmission data from the in-vehicle wireless communication function installed in the unmanned traveling vehicle, transmits it to the upper management function, and the in-vehicle wireless communication function installed in the unmanned traveling vehicle A command item for the unmanned vehicle transmitted from the wireless communication function is received and transmitted to the upper in-vehicle control function, and report data transmitted from the upper in-vehicle control function is transmitted to the ground side wireless communication function. The medical equipment supply / recovery system according to any one of claims 1 to 4, wherein the medical equipment is a surgical equipment / medical equipment.   A minimum number of the above-mentioned ground side wireless communication functions are arranged at appropriate positions that enable communication with an unmanned traveling vehicle to be communicated at an arbitrary position on the traveling path along the traveling path of the unmanned traveling vehicle. The medical equipment supply / collection system according to claim 5, wherein the medical equipment is a surgical equipment / medical equipment. In one or both of the ground side wireless communication function and the in-vehicle radio communication function, and characterized by connecting a plurality of antennas to form a da Ibashiti function of providing the automatic selection and the ability to communicate the antenna optimum reception sensitivity A medical equipment supply / recovery system such as the surgical equipment / medical equipment according to claim 5 or 6. The transmission radio wave according to the ground side wireless communication function, surgical instruments and medical equipment as claimed in claim 5, characterized in that formed so as to specify a digital code or subcarrier Thus signal destination unmanned vehicles to A such Medical equipment supply / recovery system.   6. The medical equipment supply / collection system according to claim 5, wherein interference is prevented by designating or controlling a timing of transmission from the in-vehicle wireless communication function.   10. The surgical instrument / medical instrument according to claim 1, wherein an antenna formed so as to be extended along an unmanned vehicle traveling path is used as the ground side wireless communication function. Medical equipment supply / recovery system.   The system for supplying and collecting medical equipment such as surgical equipment and medical equipment according to claim 10, wherein the transmission function of the ground side wireless communication function is formed by electromagnetic induction.   For each predetermined facility in the hospital, a computer terminal provided with a management / control function of the medical equipment supply / recovery system is provided, and the management of the medical equipment supply / recovery system is performed by these computer terminals The system for supplying and collecting medical equipment such as surgical equipment and medical equipment according to any one of claims 1 to 11, wherein a control function is executed.   The surgical equipment / medical equipment according to any one of claims 1 to 12, wherein an automatic handling function is provided for a handling facility for medical equipment including each predetermined container in a hospital. Medical equipment supply / recovery system.

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