JP5198961B2 - Endoscope washing machine management system - Google Patents

Description

  The present invention relates to an endoscope cleaning machine management system, and in particular, an endoscope cleaning machine management system in which the operation content of an endoscope cleaning machine is changed according to the usage status of an endoscope to be cleaned. About.

  2. Description of the Related Art Conventionally, medical diagnosis using an endoscope has been widely performed in the medical field, and in particular, an imaging element such as a CCD is built in an insertion tip portion to be inserted into a body cavity of an electronic endoscope. An image (endoscopic image) is taken, signal-processed by a processor device, displayed on a monitor, and observed by a doctor for use in diagnosis.

  At this time, in addition to the taken endoscopic image, the doctor's findings on the endoscopic image, patient information such as the patient's name, age, and sex, the start time and end time of the endoscopy, and the examination were performed Information related to endoscopy such as location is also recorded together.

  Further, it is necessary to clean the endoscope after the endoscopic inspection with a washing machine and store it in a predetermined place. Usually, multiple endoscopes are used in hospitals of a certain scale, so the results and other information obtained by each endoscope are neatly arranged and recorded, or unwashed endoscopes after the examination. It is necessary to manage each endoscope properly so that the mirror is not used again for examination. Therefore, various endoscope management systems have been proposed in the past.

  For example, for each endoscope, the identification information and the unique information are read out from the storage means in which the identification information of the endoscope and the unique information regarding the use situation unique to the endoscope are recorded. Are known in which each endoscope is managed in an integrated manner (see, for example, Patent Document 1).

In addition, for example, a system that centrally manages an endoscope based on unique identification information and usage information of the endoscope, in particular, based on the type (model) and serial number of the endoscope. An inspection type that may be performed is specified, and an inspection screen suitable for this inspection type is displayed (for example, see Patent Document 2).
JP 2001-46326 A Japanese Patent Laid-Open No. 2005-143782

  However, for example, in the document described in the above cited reference 1, when cleaning the endoscope after the examination, the CPU of the endoscope cleaning device communicates with the endoscope to control the endoscope management No. Alternatively, a serial number or the like is acquired and cleaning is performed based on the serial number. However, it is not disclosed at all how the operator operates the endoscope cleaning apparatus. In the cited document 2, there is no specific description about endoscope cleaning. Therefore, even if the endoscope cleaning management is performed based on the endoscope production number or the like, there is a problem that a human error may occur depending on the manner in which the operator operates the endoscope cleaning apparatus. .

  The present invention has been made in view of such circumstances, and an endoscope cleaning machine management system capable of improving the operability of the endoscope cleaning machine, preventing human error, and reducing the load on the operator. The purpose is to provide.

In order to achieve the object, an invention according to claim 1 is an endoscope having unique identification information, an endoscope processor connected to the endoscope at the time of endoscopy, and the endoscope Acquire the unique identification information of the endoscope to be cleaned, a cleaning management server that manages at least use and cleaning history and cleaning schedule information about the mirror, an operation panel including a display unit and an input button Means for acquiring from the cleaning management server at least use and cleaning history and cleaning schedule information related to the endoscope to be cleaned from the acquired unique identification information of the endoscope, and acquired information It is configured to have a means for determining the mode of the cleaning process, and a endoscope washer and means for controlling the operation panel in accordance with the mode based on the operating path The means for controlling the screen switches the content of the input button according to the mode, displays the processing content corresponding to the input button on the display unit, and according to the progress of the cleaning process in each mode. In addition to switching the contents of the input buttons, it is possible to limit the number of input buttons that can be input according to the minimum number of options required for each cleaning process content .
According to a second aspect of the present invention, the means for controlling the operation panel switches the background color of the display unit in accordance with the progress of the cleaning process in each mode.
According to a third aspect of the present invention, the means for controlling the operation panel switches the color of the backlight of the input button according to the progress of the cleaning process in each mode.
According to a fourth aspect of the present invention, the means for controlling the operation panel switches between turning on and off the backlight of the input button in accordance with the progress of the cleaning process in each mode.
According to a fifth aspect of the present invention, the input button is formed by a physical switch.
According to a sixth aspect of the present invention, the operation panel is a touch panel.

  As a result, the operability of the endoscope cleaner can be improved, human errors can be prevented, and the load on the operator can be reduced.

  As described above, according to the present invention, it is possible to improve the operability of the endoscope cleaning machine, prevent human error, and reduce the load on the operator.

  Hereinafter, an endoscope cleaning machine management system according to the present invention will be described in detail with reference to the accompanying drawings.

  FIG. 1 is an overall configuration diagram showing an outline of an embodiment of an endoscope cleaning machine management system according to the present invention.

  As shown in FIG. 1, an endoscope cleaning machine management system 1 according to the present embodiment is an endoscope that is connected to an endoscope 10 at the time of endoscopy and performs processing of an image acquired by the endoscope 10. A processor 20, an endoscope cleaning machine (simply referred to as a cleaning machine) 30 that cleans the endoscope 10 after the examination, and a cleaning management server (simply referred to as a management server) 40 that manages a cleaning schedule of the endoscope 10 and the like. Is connected to the LAN cable 50.

  Although detailed illustration is omitted, the endoscope 10 includes an insertion portion that is inserted into a body cavity and an operation portion that is connected to a proximal end portion of the insertion portion and also serves as a gripping portion. An imaging unit made up of a CCD or the like for imaging the site to be observed in the body cavity is built in the distal end of the insertion portion. At the time of examination, the endoscope 10 is connected to the endoscope processor 20 and an endoscopic examination is performed. At this time, the endoscope 10 is connected to the endoscope processor 20 and the endoscope processor 20 by a connector provided at the distal end portion of the cord extending from the side wall of the operation portion of the endoscope 10 (not shown). Is detachably connected.

  Further, the endoscope 10 has an RFID (Radio Frequency Identification) tag 12, and the RFID tag 12 can exchange information with each device or a portable terminal held by an operator. The endoscope 10 can be individually identified. The RFID tag 12 is wirelessly connected (non-contact) between an IC chip in which identification data (identification information unique to an endoscope) is stored and the IC chip, and each device or an operator's portable terminal. And a loop antenna for exchanging data.

  The endoscope processor 20 generates an endoscopic image based on an image signal that is captured and output by a photographing unit including a CCD or the like built in the insertion portion of the endoscope 10, and includes an accessory that is not illustrated. It is displayed and recorded on the monitor.

  As will be described in detail later, the cleaning machine 30 is provided with a cleaning tank with a lid on the upper surface of the box-shaped apparatus main body, accommodates the used endoscope 10, and the endoscope to be cleaned by the RFID tag 12. 10 identification information is acquired, and various processes such as cleaning, disinfection, rinsing, and drying are performed, and the endoscope 10 is cleaned, disinfected, and sterilized.

  The management server 40 holds information such as examination progress information, history information, schedule, and cleaning pattern in the endoscopic examination, communicates with the endoscope processor 20 and the washing machine 30 via the LAN cable 50, and It manages mirror inspection and cleaning of the endoscope after the inspection.

  Each device such as the endoscope 10, the endoscope processor 20, and the washing machine 30 is managed by an RFID tag, and the association between the devices is controlled by the management server 40.

  FIG. 2 shows an endoscope cleaning machine (cleaning machine) 30. FIG. 2 is a perspective view showing the appearance of the cleaning machine 30.

  As shown in FIG. 2, the cleaning machine 30 is formed in a box shape and includes a cleaning machine main body 31 and an upper lid 32. A cleaning tank 33 for storing the endoscope 10 is formed on the upper surface of the cleaning machine main body 31, and a rotary injection device 34 is provided in the cleaning tank 33. Further, a waterproof cap 35 that is attached to an electrical signal connector (not shown) of the endoscope 10 is provided inside the cleaning tank 33. In addition, since the LG connector of the endoscope 10 is formed in a waterproof type, a waterproof cap for the LG connector is omitted.

  The cleaning machine main body 31 has an operation panel 36, and an operator can input various settings related to the contents of the cleaning operation and instructions to start cleaning to the cleaning machine 30 by operating the operation panel 36. Further, as will be described in detail later, the operation panel 36 has a display unit, and the display unit displays a remaining time for the cleaning work, a time until the work is completed, a warning when a trouble occurs, and the like. .

  Although not shown in FIG. 2, the cleaning machine main body 31 has a central processing unit (CPU), and the CPU controls the operation of each unit such as the rotary injection device 34 according to the cleaning program, so The mirror 10 is automatically controlled from the start of cleaning to the end of cleaning.

  The cleaning tank 33 of the cleaning machine 30 houses the endoscope 10 after the inspection, which has been removed from the endoscope processor 20, and performs cleaning, disinfection, and the like. When the endoscope 10 is cleaned, the waterproof cap 35 is attached to the electrical signal connector of the endoscope 10 and the upper lid 32 is closed.

  The cleaning operation is started when the operator inputs a start command from the operation panel 36. When the operator inputs a start command, the cleaning liquid is sprayed from the spray nozzle 37 of the rotary spray device 34, and the endoscope 10 is cleaned. It is also possible to perform cleaning / disinfection by immersing the endoscope 10 in a cleaning solution or a disinfecting solution stored in the cleaning tank 33.

  Next, the operation of the endoscope cleaning machine (cleaning machine) 30 configured as described above will be described.

  When the endoscopic inspection is completed, the operator removes the electrical signal connector and the LG connector of the endoscope 10 used for the inspection from the connection portion of the endoscope processor 20, opens the upper cover 32 of the cleaning machine 30, The endoscope 10 is placed in the cleaning tank 33 of the cleaning machine 30.

  When the waterproof cap 35 is attached to the electrical signal connector of the endoscope 10, detailed illustration is omitted, but the conducting member provided on the outer peripheral surface of the waterproof cap 35 comes into contact with the metal plate of the electrical signal connector for cleaning. The main power supply of the machine 30 is turned on. When the main power supply of the cleaning machine 30 is turned on, the operation panel 36 is lit and various commands can be input.

  Thereafter, the operator closes the upper lid 32, operates the operation panel 36 to input various settings regarding the content of the cleaning operation, and inputs a start command instructing the start of cleaning.

  Then, the rotary injection device 34 and the drain valve are controlled according to the set cleaning program, and the endoscope 10 is cleaned.

  After the predetermined cleaning process is completed, the operator opens the upper lid 32 and removes the waterproof cap 35 from the electrical connector. When the waterproof cap 35 is detached from the electrical connector, the main power supply of the cleaning machine 30 is turned off.

  A switch for turning on / off the main power supply of the cleaning machine 30 may be provided on the operation panel 36. However, as described above, the main power is turned on by attaching / detaching the waterproof cap 35 of the cleaning machine 30 to / from the electrical connector of the endoscope 10. By turning on / off, the number of main power on / off switches from the operation panel 36 can be reduced.

  Hereinafter, the operation of the endoscope cleaner 30 of the present embodiment will be described in more detail.

  When the operator sets the inspected endoscope 10 in the cleaning tank 33 of the cleaning machine 30, the cleaning machine 30 acquires identification information unique to the endoscope from the RFID tag 12 of the endoscope 10.

  On the other hand, the washing machine 30 acquires history information and schedule information corresponding to the identification information of the endoscope 10 acquired now from the management server 40.

  The cleaning machine 30 determines whether the mode of the cleaning process is the normal mode or the exception process mode based on the acquired history information and schedule information, and controls the operation panel 36 according to the mode.

  FIG. 3 shows an example of the operation panel 36. (A) represents a display example in the normal mode, and (b) represents a display example in the exception handling mode.

  The operation panel 36 includes a display unit 36a for displaying processing contents or processing states and an input button 36b formed by a physical switch. However, the input button 36b is not a physical switch as described above, and the entire operation panel 36 may be configured by a touch panel, and a command may be input by touching the position of the input button.

  FIG. 3A shows a display screen in the normal mode. Contents corresponding to each input button 36b are displayed on the display unit 36a. That is, the first button on the leftmost side of the input button 36b represents the start of cleaning, the second button in the middle represents the interruption of the cleaning process, and the third button on the rightmost side indicates the end of the cleaning process, and the inside view The removal of the mirror 10 is shown.

  According to this, when the No. 1 button is pressed, the cleaning process starts, and each process of the cleaning process automatically proceeds as it is, and all processes such as cleaning, disinfection, and drying are performed, and the process ends automatically. .

  The second button is pressed when it is desired to stop the process temporarily during the process. The third button is pressed when the process is forcibly terminated or when the endoscope 10 is taken out after the process is terminated.

  The processing content may be expressed in a hierarchical structure on the display unit 36a. That is, when the input button 36b corresponding to a certain process is pressed, the next process content corresponding to the process is displayed, and when the process in the process is further selected, the next process content is displayed. Good.

  FIG. 3B shows a display screen in the exception processing mode. In the example shown in FIG. 3B, as shown in the display unit 36a, the first button of the input button 36b represents execution of a water leakage test, the second button represents the start of cleaning, and the third button The button represents the interruption of processing.

  Here, the water leakage inspection is performed by immersing the endoscope 10 in the water of the cleaning tank 33, sending air into the endoscope 10 and inspecting for water leakage by the generation of bubbles. Instead, it is performed at a predetermined interval. For example, the cumulative use count of the endoscope 10 is counted, and a setting is made so that a water leak test is performed before cleaning every predetermined number of times. At this time, the cumulative use count counted by the endoscope processor 20 is held in the management server 40. When cleaning the endoscope, the cleaning machine 30 obtains the identification information of the endoscope 10 from the RFID tag 12 of the endoscope 10 and accumulates the endoscope 10 from the management server 40 based on the identification information. When the number of uses is acquired and it is determined that the water leakage inspection is necessary, the display screen of the exception processing mode including the water leakage inspection is displayed on the display unit 36a of the operation panel 36 of the washing machine 30.

  Further, the display screen of the display unit 36a is automatically changed so that the contents of the input buttons 36b are moved up one by one as the process proceeds. That is, the first button of the input button 36b represents the water leakage test until now, but when the water leakage test is completed, the first button indicates the start of cleaning and the second button indicates the interruption. The button layout changes as the contents to be moved move up one by one. The third button indicates end / removal, and the operation panel 36 displays the normal mode.

  In addition, the leakage test is completed when it is found from the information from the endoscope processor 20 or the schedule information of the management server 40 that the examination by the endoscope 10 is already the last day. After that, the normal mode is not displayed as shown above. For example, the No. 1 button starts cleaning, the No. 2 button stops, and the No. 3 button adds alcohol flush processing to display the exception handling mode. You may make it.

  Alcohol flush is a process in which alcohol is injected into the duct of the endoscope 10 and then air is sent into the endoscope 10 for several minutes to dry the endoscope. Against.

  In addition, the cleaning machine 30 may change the concentration of the disinfectant according to the medical history and treatment details of the patient in use obtained from the management server 40 based on the identification information unique to the endoscope acquired from the RFID tag 12 of the endoscope 10. The content of a special cleaning process such as disinfecting with a new disinfectant solution to make it a waste solution at one time or extending the cleaning time may be added.

  It should be noted that such correspondence data between the exception processing mode and the cleaning pattern may be registered in advance in either the management server 40 or the cleaning machine 30.

  Further, during the cleaning process, the operator may perform another work at a remote location. In such a case, the background color of the display unit 36a is changed in association with each processing step, and the processing progresses. It is preferable that the operator can visually recognize even from a distance.

  For example, the background of the display unit 36a may be blue when cleaning is performed in the normal mode, and the background of the display unit 36a may be red when in the exception processing mode. In addition to changing the background color in the processing mode, the background color may be changed for each process in each processing mode.

  Further, not only the display unit 36a but also a light may be provided on the back of the input button 36b, and the color of the backlight of the input button 36b may be changed to alert the operator. For example, the button backlight may be lit blue while the process corresponding to the button is being executed, and when the process is completed, the backlight may be lit red to indicate the end of the process. In this case, in addition to changing the color of the light as described above, whether the process is in progress or the process has ended may be distinguished simply by turning on and off.

  Further, it is preferable that the number of buttons that can be operated according to the processing mode is variable. The number of buttons is reduced as much as possible, and the processing contents corresponding to the buttons are displayed on the display unit 36a. This is to prevent human errors by reducing the number of options as much as possible from the viewpoint of safety, thereby preventing human error.

  For example, in the normal mode shown in FIG. 3A, the first button indicating the start of cleaning is a start button. When this button is pressed, the cleaning process is started and the process is performed as it is. At this time, when the input button 36b is first pressed, only the first start button is effective, and even if the button indicating the second interruption or the button indicating the end of the third is pressed, it naturally does not work.

  In the above, two examples of the normal mode and the exception processing mode have been described as the display method of the processing mode on the display unit 36a. However, when the cleaning process is switched according to the usage information of the endoscope 10, the display unit 36a Is preferably a panel display corresponding to the processing in that case.

  For example, as described above, depending on the patient's infection information, depending on the patient's medical history and examination contents, the disinfecting liquid is switched so as to perform disinfection using a strong disinfecting liquid. The mode will be used up once.

  Alternatively, when the elapsed time of using the endoscope 10 is very long, the long-time cleaning mode is set so that the endoscope 10 is cleaned over a long period of time.

  In addition, when the operator brings the endoscope 10 after use (after inspection) to the cleaning machine 30 to perform cleaning, the cleaning machine 30 is unique to the endoscope from the portable terminal held by the operator. The RFID including the identification information is read, the operator's schedule, the operator's contamination level, and the like are acquired from the management server 40 by the read RFID, and the operation panel 36 is limited in operation according to the operator's state. A panel display may be used.

  For example, when the operator is contaminated and the degree of cleanliness is low, when the operator removes the cleaned endoscope 10 from the washing machine 30, the cleaned endoscope 10 is contaminated again. In order to prevent this, the removal operation menu is not displayed for the operator.

  Here, the cleanliness level of the operator means that the information related to the endoscopy by the operator and the information changed in the clean room after the inspection are sequentially grasped by the management server 40, and the cleanliness level is determined for each operator. This is evaluated by the management server 40.

  Also, in the entire endoscopy / endoscope cleaning management schedule, a certain operator sets the used endoscope 10 in the cleaning machine 30 at a specific time zone, and the endoscope at a specific time zone. 10 is scheduled to be taken out after cleaning, the target cleaning machine 30 only determines when the cleaning machine 30 judges based on the RFID of the operator and the conditions of the scheduled operator and the time zone match. The display is operable.

  Therefore, an operator who is not originally in charge of handling the endoscope 10 or the like does not operate it to disturb a predetermined schedule and make subsequent processing difficult.

  In addition, only when the cleaning machine 30 determines from the RFID that it is an operator (administrator) who has qualifications for overall management, the display on the operation panel 36 of the cleaning machine 30 is changed to the management mode operation display. You may make it do. The management mode operation display is, for example, a process for selecting a program to set or change a management schedule, or to perform a maintenance process.

  Therefore, in this way, even if an operator other than the administrator tries to operate the cleaning machine 30, the operation screen for the administrator is not displayed, and an operator other than the administrator erroneously sets the cleaning machine 30. It is prevented from changing.

  As described above, in the present embodiment, the cleaning machine 30 acquires various types of information from the management server 40 based on the endoscope-specific identification information obtained by reading the RFID of the endoscope 10 or the RFID of the operator, Correspondingly, the display of the processing mode is displayed on the operation panel 36 of the washing machine 30, thereby improving operability, preventing human error, and reducing the load on the operator.

  The endoscope cleaning machine management system of the present invention has been described in detail above, but the present invention is not limited to the above examples, and various improvements and modifications are made without departing from the gist of the present invention. Of course it is also good.

  For example, the present invention can be applied to a cleaning / disinfecting apparatus for various medical instruments, an autoclave apparatus, and the like.

1 is an overall configuration diagram showing an outline of an embodiment of an endoscope cleaning machine management system according to the present invention. It is a perspective view which shows the external appearance of a washing machine. It is explanatory drawing which shows an example of a display of an operation panel, (a) represents the example of a display in normal mode, (b) represents the example of a display in exception processing mode.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 1 ... Endoscope washing machine management system, 10 ... Endoscope, 12 ... RFID tag, 20 ... Endoscope processor, 30 ... Endoscope washing machine (washing machine), 31 ... Cleaning machine body, 32 ... Upper lid, 33 ... World tank, 34 ... Rotating injection device, 35 ... Waterproof cap, 36 ... Operation panel, 36a ... Display unit, 36b ... Input button, 40 ... Management server, 50 ... LAN cable

Claims (6)

An endoscope with unique identification information;
An endoscope processor connected to the endoscope at the time of endoscopy,
A cleaning management server for managing at least use and cleaning history and cleaning schedule information related to the endoscope;
An operation panel including a display unit and an input button, means for acquiring the unique identification information of the endoscope to be cleaned, and a target to be cleaned from the acquired unique identification information of the endoscope. Means for acquiring at least usage and cleaning history and cleaning schedule information regarding the endoscope from the cleaning management server; means for determining a mode of cleaning processing based on the acquired information; and the operation according to the mode An endoscope washer having means for controlling the panel ;
And the means for controlling the operation panel switches the content of the input button according to the mode, displays the processing content corresponding to the input button on the display unit, and The content of the input button is switched according to the progress of the cleaning process in the mode, and the number of the input buttons that can be input is limited according to the minimum number of options required for each cleaning process content Mirror cleaning machine management system. The endoscope cleaning machine management system according to claim 1, wherein the means for controlling the operation panel switches a background color of the display unit in accordance with the progress of the cleaning process in each mode. The endoscope cleaning machine management system according to claim 1, wherein the means for controlling the operation panel switches the color of the backlight of the input button according to the progress of the cleaning process in each mode. The endoscope cleaning machine management according to claim 1, wherein the means for controlling the operation panel switches between turning on and off the backlight of the input button according to the progress of the cleaning process in each mode. system. The endoscope cleaning machine management system according to any one of claims 1 to 4, wherein the input button is formed by a physical switch. The endoscope cleaning machine management system according to any one of claims 1 to 4, wherein the operation panel includes a touch panel.

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