JP4549752B2 - Surgical kit design system and program - Google Patents

Description

  The present invention relates to a design system for a surgical medical kit applied when designing a product in which a medical instrument or a medical product necessary for performing a surgery in a hospital is kitted, and a design process for the surgical medical kit It relates to the program that performs.

  When performing major operations such as the brain and heart, a large number of medical instruments and medicines are required, and much effort is required for preparation. For this reason, in recent years, there have been proposals for kit products that are prepared and sterilized by providing instruments necessary for such operations.

Patent Document 1 discloses that a medical instrument necessary for such a surgery is provided as a kit.
JP 2002-136597 A

  However, even if medical equipment necessary for surgery is provided as a kit, it is almost impossible to prepare in advance an assortment corresponding to all surgeries with different situations depending on patients and hospitals. Therefore, it was difficult to have medical equipment necessary for surgery. In addition, it is not impossible to handle the surgery in different situations if you specify the instrument and make it to order, but it takes time to check the instrument specifications and design the arrangement in the packaging. There is a problem that it takes a long time to deliver.

  In addition, when proposing the introduction of such kit products to a hospital, a product adoption proposal will be created by manually calculating the estimated price and the effect of shortening the work time. Since it is a huge number, it is not an easy task.

  A first object of the present invention is to select an instrument necessary for an operation so that the arrangement of a kit product in a package can be easily designed in a short time.

  The second object of the present invention is to make it possible to create price estimates and proposals for kit products in a short time.

The surgical medical kit design system according to the present invention includes a standard kit configuration for a surgery that can design a kit in a surgical medical kit design system including a terminal device and a display connected to the terminal device. The storage means for storing the arrangement of the instrument in the packaging box in the kit configuration, the selection of the surgical name and the selection of the instrument in the surgical medical kit displayed on the display based on the selection of the surgical name Display means for controlling the display mode of the surgical medical kit to be displayed on the display based on the selection by the operation means, and the display control processing on the display by the display control means, According to the name of the operation selected by the operation means, the standard kit configuration stored by the storage means is standardized for the instruments used for the operation. The display is divided into a first group to be used and a second group to be used in an applied manner, and an instrument display process for displaying the order of use of each instrument at the time of surgery; If the operation order is changed by adding an included tool or selecting an alternative tool, and the operation to determine the tool to be used is the operation means, a predetermined packing box is selected so that the tool can be taken out from the packing box according to the determined order of use. A package layout display process for displaying the layout of each instrument with an icon at a position and a layout change process for changing the instrument layout in the packaging box by moving the icon by the operation means are executed .

  Further, in this case, a calculation means for calculating a price estimate according to the determined appliance is provided.

The surgical medical kit design program of the present invention is a surgical medical kit design program that is installed and executed in a computer device to which an operation means and a display are connected. A kit configuration, a storage step for storing the arrangement of the instrument in the packaging box in the kit configuration, and a standard kit configuration stored in the storage step according to the name of the operation selected by the operation means. The instrument used for surgery is divided into a first group used as a standard and a second group used as an application and displayed on the display, and the order of use of each instrument during surgery is displayed. A device display step to be performed, and the operation order is changed by adding the device included in the kit configuration by the operation means or selecting an alternative device, When the operation to be confirmed is the operation means, a packaging layout display step for laying out and displaying the arrangement of each instrument with icons at predetermined positions of the packaging box so that it can be taken out from the packaging box in accordance with the decided order of use; And a layout changing step for changing the arrangement of the appliances in the packaging box by moving the icon .

  Further, in this case, a calculation step for calculating a price estimate according to the confirmed appliance is provided.

  According to the present invention, only by performing an operation of moving an icon displayed on the terminal screen, the medical instrument necessary for the operation, the determination of the product configuration of the medical product, and the design of the product layout in the packaging according to the order of use Therefore, it is possible to easily and quickly design a surgical kit.

  In addition, the product design document for the kit designed according to the present invention can be used not only as a purchase order, but also as a manufacturing instruction document for a medical device manufacturer. It will be a significant shortening of.

  Further, since the introduction effect due to the use of the kit product can be automatically calculated, it has an effect of reducing labor for creating a proposal document that describes a specific introduction effect and the like.

Hereinafter, an embodiment of the present invention will be described with reference to the accompanying drawings.
In this example, a program (software) for designing a surgical medical kit is installed in a terminal constituted by a computer device, and the terminal is configured and operated as a surgical medical kit design device (design system). It is like that.

  In the program of this example, a plurality of operations for which a kit can be designed is set in advance, and a standard kit configuration is preset for each operation for the designable operation kit. The standard kit configuration is memorized as a full kit configuration with almost all medical devices required for the operation, and a half kit configuration that uses other than the kit for some medical devices. It is. As each kit configuration, the layout of the medical instrument in the container when the instrument in the kit is packed in the packaging container is stored. The volume of the packaging container and the size of each medical device (product) that makes up the kit are also stored, so that if the kit configuration is changed, it can be calculated whether it can be stored in the packaging container. It is.

  And the order which uses the goods in a kit at the time of operation is also registered, and it has a function which calculates the layout of the medical instrument in a container so that it can take out from a packing container in order of the use order. Therefore, when the product composing the kit is changed or added, the layout of the medical device in the packaging container is changed in consideration of the size and order of use of the changed or added device.

  That is, in this example, as shown in FIG. 2, for example, the products are stored and packed in trays 11, 12, 13 and the like arranged in several stages in the product pack area in the packaging container. It is. In that case, for example, as shown in FIG. 3, the order in which the medical instruments in the kit are used is determined according to the progress of the operation, and the packaging is arranged in such a way that it can be taken out from the top in the order of use. is there. However, the order of use shown in FIG. 3 and the instruments used in that order are only examples, and there are some changes depending on the hospital where the operation is performed.

  FIG. 1 shows a configuration example of a computer device configured and operated as a design device for the surgical medical kit of this example. A central control unit (CPU) 1 serving as arithmetic processing means is connected to storage means in the ROM 2 and RAM 3 via an internal bus, reads out a program stored in a data storage unit 4 such as a hard disk to the RAM 3, and the CPU 1 In this control, input data and other arithmetic processing are performed, and data processing for creating a surgical medical kit design document is performed.

  In this case, based on operation data or the like input to the input unit 5 configured with a keyboard or a pointing device such as a mouse, a process for creating a design document for a surgical medical kit is performed. In addition, a display unit 6 composed of a monitor display or the like is connected, and display data created by control or calculation on the CPU 1 side is supplied, and data on a surgical medical kit designed on the display unit 6 is stored. Various displays are performed. The CPU 1 that is the control unit of the computer device configured as described above and each function execution unit connected to the CPU 1 function as each unit that executes the design of the surgical medical kit that is the processing of this example.

  As the display on the display unit 6, for example, as shown in FIG. 4, various displays related to the kit under design are performed on a screen 100 of the display unit 6. Here, as the display function selection buttons, a finished product selection button 101, a configuration list display button 102, a diagram switching button 103, and a prototype request button 104 are displayed, and these buttons can be operated by a mouse click operation or the like. I can do it.

  When the finished product selection button 101 is operated, the finished product selection display 111 shown on the lower side of FIG. 4 is displayed, and the display shifts to a recommended kit list and a display for searching for a finished product condition. When the configuration list display button 102 is operated, the configuration list display 112 is displayed, and the display shifts to a display for performing the quantity ordered for each kit. When the diagram switching button 103 is operated, a three-dimensional map display 113 of the designed kit is displayed. When the prototype request button 104 is operated, the screen moves to a prototype request display 114, and the designed surgical kit data is transferred to a predetermined external terminal, so that the number of prototypes to be manufactured and the scheduled delivery date are displayed. Move on to display for confirmation.

  Further, in the center of the screen 100, there are a variable area display 105 in which the configuration and arrangement can be changed among the products constituting the kit, and a fixed area display 106 in which the configuration and arrangement are determined and cannot be changed. In the area, for example, an icon indicating an instrument is displayed. Beside the variable area display 105, a list display 108 of icons indicating devices that can be changed is displayed. In the fixed area display 106, for example, a group (first group) of instruments that are typically used for surgery is arranged and displayed. In the variable area display 105, for example, a group of instruments (second group) used for surgery is arranged and displayed. The icon display used in these displays is a display that is easy to understand by symbolizing each medical instrument with a figure or a character.

  Further, a component button 107 is prepared at the upper left of the screen 100. When the button is operated, the detailed display 117 of the components in the kit shown in the upper side of FIG. 4 is displayed in the order of recommendation. Is done.

  Note that an external interface 7 is connected to the computer device of this example, and data processed by the computer device can be transferred to the outside, or data transferred from the outside can be received.

  FIG. 5 is a flowchart showing an example of execution processing of the design program for the surgical medical kit of this example. Referring to FIG. 5, first, when the design program for the surgical medical kit of this example is started up (step S11), a screen for selecting an operation name is displayed on the display unit 6 by calculation processing under the control of the CPU 1 (step S12). ). At this time, for example, a list of surgical name candidates of surgical kits that can be designed by the surgical medical kit design program of this example is displayed, and the operator selects the surgical name of the kit to be designed by operating the mouse or the like. .

  In the state where such a display is performed, the CPU 1 determines whether or not an operation for selecting an operation name has been performed (step S13), and waits until it is selected. When the name of the surgery is selected, the kit to be designed is a full kit design with almost all medical instruments necessary for the surgery, or a half kit design that does not use the kit for some instruments. Is displayed on the display unit 6 (step S14). When the design of the full kit is selected based on this display, a list of standard components of the full kit prepared in advance for the operation selected in step S13 is displayed based on the control of the CPU 1 ( Step S15). If half kit design is selected in step S14, a list of standard components of the half kit prepared in advance for operation selected in step S13 is displayed based on the control of the CPU 1 (step S14). S16).

  When displaying a list of standard configuration products in step S15 or S16, for example, the name of each medical device, the order of use, icons indicating the medical device, detailed specifications of the device, and a photograph (image) are displayed.

  Next, a list of additional products that can be added to the kit and alternative products that can be replaced with standard configuration products is displayed (step S17). Also at this time, as the display of the additional product and the alternative product, for example, the name of each medical device, the icon indicating the medical device, the detailed specification of the device, and the photograph (image) are displayed. The operator selects an additional product or an alternative product from the products (equipment) displayed at this time.

  The CPU 1 determines whether there is a product selected from the additional product or the alternative product displayed in this way (step S18). If there is a selected product, the changed kit configuration is determined. A list is displayed (step S19).

  After that, among the instruments that make up the kit that has been determined so far, a screen for confirming the order in which the instruments are used is displayed, and the instrument is used by performing an operation based on the display on the screen. The order can be corrected (step S20). If there is a correction, the correction order is displayed (step S21).

  When the operations up to here are completed, the CPU 1 calculates the layout of the medical instrument in the case of packing in the packaging container based on the commodities constituting the surgical medical kit and the order of use of the commodities. The entire layout of the appliance is displayed (step S22). At this time, each instrument is displayed as an icon. Then, in a state where the entire layout is displayed, it is determined whether or not a specific product group in the kit has been selected (step S23). If there is a product group selection, the selected product group A detailed layout is displayed (step S24). Also at this time, each medical device is displayed as an icon.

  In the state where this detailed product arrangement is displayed, it is determined whether or not there is a drag-and-drop operation for moving the display icon (step S25). If there is an appropriate operation, the layout is corrected by moving the display icon. And the modified layout is displayed (step S26). When moving this display icon, for example, by moving the icon out of the tray, the corresponding instrument is removed from the kit, and the icon displayed as a selection candidate is moved into the tray and displayed as the icon. The instrument is included in the kit, and the position of the icon is set as the position of the instrument. In addition, it may be configured to store in advance a minimally necessary instrument for general surgery and to display a warning or the like when the selected product does not satisfy this condition.

  Thereafter, the kit design process is completed by performing the process of determining the arrangement of the products in the kit (step S27). A kit designed in this way can be immediately prototyped, for example, by operating the prototype request button shown in FIG.

  Here, examples of displaying the layout in the kit using icons are shown in FIGS. FIG. 6 is a diagram showing the product arrangement state of the entire kit as icons. In this example, nurse products, hemostatic products, and bundled products are stored in the right half, and a product pack area is provided in the left half to store mainly products used by doctors as the surgery progresses. is there. The products to be modified in the kit design stage are mainly products in this product pack area. For the product pack area, here: 1. Outfit / Drape area 2. Syringe and beaker area Angio product area, 4. 4. Introducer area, Divided into catheter-related product areas.

  FIG. 7 is a diagram showing the overall arrangement as viewed from above. As shown in FIG. 7, the nurse product, the hemostatic product, the packaged product placement area, and the product pack area are shown. FIG. 8 is a view showing the product pack area in a longitudinal section. Here, a state is shown in which the trays are stored in a stack of four stages.

  In consideration of circumstances such as product dimensions, fixed products that cannot be changed in layout can be set in the product pack area. In FIGS. 6 and 8, for example, a very long catheter is preferably a fixed product. Further, for example, the arrangement of the fixed product can be changed. For example, 4. 4. Eliminate the introducer area. An introducer can also be placed in the catheter area (lowermost layer).

  FIG. 9 shows an example in which each of the four trays is individually displayed. In FIG. 9, for example, the upper part (FIG. 9 (b)) and the middle part (FIG. 9 (c)), which are written as the syringe area and the beaker area, are in the lower part. It shows that it is in a state protruding. The arrangement of the syringe area and the beaker area is indicated by icon display in the lower part (FIG. 9D). In this way, the layout is displayed individually for each stage, the layout is confirmed from the icon display, whether it is a layout that can be properly taken out when performing surgery, whether necessary items are included, or You can easily check if there is something unnecessary. It can also be easily corrected by drag and drop.

  Accordingly, by performing the design using the surgical kit design system of the present example, it is possible to easily design a surgical kit suitable for the surgical procedure in each hospital.

  In the kit design process so far, it was explained that the design is simply based on the convenience of surgery, but the price of the surgical kit designed in this way and the cost reduction effect when using the surgical kit May be calculated and presented to the hospital.

  The flowchart of FIG. 10 shows an example of a price quote creation process in the system of this example. After the operation kit has been designed in the above-described process, if there is an operation for selecting the execution of the price estimate creation function, the input of the number of executions of the corresponding operation in the hospital per year (step S31), The contracted quantity (used quantity) is input (step S32), the discount price product is displayed, and the price adjustment process based on the display (step S33) is performed. Based on the input data, the CPU 1 performs a calculation process using the calculation formula of the estimate set in the program of this example, and displays the result as an estimate (step S34). As the estimate display, for example, each product name, specification, unit price, discount price, total amount, etc. are displayed. The displayed estimate may be printed out or sent to the hospital by e-mail.

  By automatically creating an estimate in this way, the price for delivery to the hospital can be immediately determined.

  The flowchart of FIG. 11 shows a process for calculating a cost reduction effect when using a surgical kit designed by the system of this example and creating a proposal for promoting adoption to a hospital. In this case, an operation name and the number of operations performed per year are input (step S41), and the average work cost is displayed (step S42). The average work cost is calculated from the average number of nurses required for the operation, the average labor cost, the average work time, the average operation time, and the like.

  The average work cost is confirmed, and adjustment is performed as necessary (step S43). Further, the disposal cost of the average medical waste is displayed (step S44), and the disposal cost is confirmed and adjusted if necessary (step S45).

  The CPU 1 calculates the cost reduction effect when the surgical kit of this example is used with a calculation formula set in advance in the program based on the data input so far, and displays the result. Cost reduction effects include the effect of product price differences by purchasing products as a kit, the effect of shortening the labor and time required for surgery preparation, the effect of reducing waste, and the reduction of paperwork time There are effects.

  The displayed cost reduction effect may be printed out as a proposal to the hospital or sent to the hospital by e-mail.

  In the embodiment described so far, a program (software) for executing the processing of the above-described embodiment is installed in a general-purpose computer device to form a kit design system. A customized terminal device may be prepared.

  Further, when the program is implemented on a general-purpose computer device, it can be dealt with by recording the program on various recording media and distributing it.

It is the block diagram which showed the system configuration example by one embodiment of this invention. It is the perspective view which showed the structural example of each step | level of the kit by one embodiment of this invention. It is explanatory drawing which showed the example of the usage order of the goods (medical instrument) in a kit. It is explanatory drawing which showed the display screen by one embodiment of this invention, and its switching example. It is the flowchart which showed the example of merchandise composition determination and packaging layout design processing by one embodiment of this invention. It is explanatory drawing which showed the example of the whole display after the arrangement | positioning determination by one embodiment of this invention. It is explanatory drawing which showed the example of a display of the upper surface of the whole kit by one embodiment of this invention. It is explanatory drawing which showed the example of a display of the longitudinal cross-section of the whole kit by one embodiment of this invention. It is explanatory drawing which showed the example of a display of the upper surface of each step | level by one embodiment of this invention. It is the flowchart which showed the example of a price quote preparation process by one embodiment of this invention. It is the flowchart which showed the creation process example of the proposal by one embodiment of this invention.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 1 ... Central control unit (CPU), 2 ... ROM, 3 ... RAM, 4 ... Memory | storage part, 5 ... Input part, 6 ... Display part, 7 ... External interface, 11 ... Lower tray, 12 ... Middle tray, 13 ... Upper stage Tray, 100 ... display screen, 101-108 ... each display area, 111-114, 118 ... example of switched display

Claims (6)

In a surgical medical kit design system comprising a terminal device and a display connected to the terminal device,
A standard kit configuration for surgery for which the kit can be designed, and storage means for storing the arrangement of the instrument in the kit configuration in the packaging box;
An operation means for selecting a surgical name and an instrument in the medical kit for surgery displayed on the display based on the selection of the surgical name;
Display control means for controlling the display mode of the surgical medical kit to be displayed on the display based on the selection by the operation means,
As a display control process on the display by the display control means,
According to the operation name selected by the operation means, the standard kit configuration stored by the storage means is used in an applied manner with the first group that uses the instruments used for the operation as standard. Instrument display processing for displaying the usage order at the time of surgery of each instrument , and displaying the second group separately .
When the operation means is the operation means for changing the use order by adding an instrument included in the kit configuration or selecting an alternative instrument in the operation means, and the operation means is the operation means, it can be taken out from the packaging box according to the determined use order. as such, the layout display makes packaging layout display processing arrangement of the instrument by an icon in a predetermined position of the packaging box,
A design system for a surgical medical kit, which executes a layout change process for changing an instrument arrangement in a packaging box by moving an icon by the operation means . The surgical medical kit design system according to claim 1,
The medical medical kit design system further includes a calculation unit that calculates a price estimate according to the determined instrument. The surgical medical kit design system according to claim 1,
Furthermore, depending on the contracted quantity or number of operations within a given period, the discount price of the calculated product, the disposal cost of medical waste reduced by the kit, the cost of preparation work shortened and the administrative cost reduced A system for designing a medical kit for surgery, further comprising a second calculating means for calculating. In a surgical medical kit design program that is installed and executed in a computer device to which an operation means and a display are connected ,
A standard kit configuration for the surgery for which the kit can be designed, and a storage step for storing the placement of the instrument in the kit configuration in the packaging box;
In accordance with the name of the operation selected by the operation means, the standard kit configuration stored in the storing step is used in an applied manner with the first group that uses the instrument used for the operation as a standard. An instrument display step for displaying the order of use of each instrument at the time of surgery while being displayed on the display separately from the second group to be operated ;
When the operation means is the operation means for changing the use order by adding an instrument included in the kit configuration or selecting an alternative instrument in the operation means, and the operation means is the operation means, it can be taken out from the packaging box according to the determined use order. as such, the packaging layout display step of causing layout display an arrangement of the instrument by an icon in a predetermined position of the packaging box,
A design program for a surgical medical kit, comprising: a layout changing step of changing an instrument arrangement in a packaging box by moving an icon by the operation means . In the surgical medical kit design program according to claim 4,
Furthermore, the operation medical kit design program further comprises a calculation step of calculating a price estimate according to the determined instrument. In the surgical medical kit design program according to claim 4,
Furthermore, depending on the contracted quantity or number of operations within a given period, the discount price of the calculated product, the disposal cost of medical waste reduced by the kit, the cost of preparation work shortened and the administrative cost reduced A design program for a surgical medical kit, further comprising a second calculation step of calculating.

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