JP7054539B2 - Medical equipment management system - Google Patents

Description

The present invention relates to a medical device management system.

Conventionally, a reuse management system for a reuse type medical device such as a biopsy forceps is known (see Patent Document 1). In this system, the server provided by the rental / collection company determines whether or not the maximum number of times the medical device can be used exceeds the set number of times, and the medical device that exceeds the set number of times is discarded.
Further, a delivery system for dental treatment equipment is disclosed in Patent Document 2. In this system, the necessary treatment equipment is selected from the medical treatment contents, the necessary treatment is performed on the treatment equipment, and the treatment equipment is delivered to the dental clinic in a pack that cannot be resealed. Since the pack that cannot be resealed is used, when the dental clinic uses the treatment equipment, it can be easily determined whether or not the treatment equipment remains sterilized.

Japanese Unexamined Patent Publication No. 2004-13837 Japanese Unexamined Patent Publication No. 2010-92145

In a system where medical instruments are shared among users and sterilization is managed outside the user, sterilized medical instruments should be provided to users and the distribution history of individual medical instruments should be centrally managed. Is considered necessary. However, for example, the existing techniques described in Patent Document 1 and Patent Document 2 are insufficient.

The present invention has been made in view of the above circumstances, and provides a medical device management system capable of providing a sterilized medical device to a user and centrally managing the distribution history of individual medical devices. That is the issue.

In order to solve the above problems, the medical device management system according to the first aspect of the present invention includes a reading device that reads identification information of the medical device from an identifier provided in the reuse type medical device, and a plurality of the medical devices. The management device comprises at least sterilization information regarding the sterilization of the medical device, which is associated with the identification information of the medical device and is determined independently of the information regarding the shipping destination . The state information storage unit that stores the state information of the medical equipment, the state information calling means that calls the state information of the medical equipment from the state information storage unit by the identification information read by the reading device, and the called state information calling means. It has a status information update unit that updates necessary information from the status information and a determination unit that determines the status of the medical appliance from the status information, and the determination unit describes the medical appliance stored in the sterilization factory. With reference to the sterilization information included in the state information in the state information storage unit, it is determined whether or not the information indicating that the sterilization is effective is stored, and it is shown that the sterilization is effective. When the information is not stored, it is characterized by having a shipping determination means for determining that the medical appliance cannot be shipped from the sterilization factory to the user.

Further, the medical device management system according to the second aspect of the present invention includes at least sterilization information regarding the sterilization of the medical device, which is associated with the identification information of the reuse type medical device and is determined independently from the information regarding the shipping destination. An identifier including a state information storage unit for storing the state information of the medical equipment, a reading device for reading information from the identifier provided in the medical equipment, and a determination unit for determining the state of the medical equipment from the state information. The determination unit is provided with a management device having the same, and the determination unit refers to the sterilization information included in the state information in the state information storage unit for the medical equipment stored in the sterilization factory, and the sterilization is effective. It is determined whether or not the information indicating that the information is stored is stored, and if the information indicating that the sterilization is effective is not stored, the medical equipment cannot be shipped from the sterilization factory to the user. It is characterized by having a shipping determination means for determining that.

According to the present invention, it is possible to provide a sterilized medical device to a user and centrally manage the distribution history of each medical device.

It is a schematic diagram of the medical equipment management system which concerns on embodiment of this invention. It is a block diagram which shows an example of the structure of each apparatus of the medical instrument management system which concerns on 1st Embodiment. It is a figure which shows an example of the information to be managed, (a) shows identification information, (b), (c) show state information associated with identification information, respectively. It is a sequence diagram which shows the flow of processing at the time of shipment of a medical instrument. It is a flowchart which shows the flow of a delivery information creation process. It is a sequence diagram which shows the flow of processing at the time of use of a medical instrument. It is a sequence diagram which shows the flow of processing at the time of collection of a medical instrument. It is a sequence diagram which shows the flow of the process at the time of sterilization of a medical instrument. It is a sequence diagram which shows the flow of the process at the time of the stock management in the sterilization factory of the medical instrument. It is a sequence diagram which shows the flow of processing at the time of inventory management in a dental clinic of a medical instrument. It is a sequence diagram which shows the flow of the modification of the processing at the time of shipment of a medical instrument. It is a sequence diagram which shows the flow of the modification of the processing at the time of shipment of a medical instrument. It is a block diagram which shows an example of the structure of each apparatus of the medical instrument management system which concerns on 2nd Embodiment. It is a flowchart which shows the flow of a delivery information creation process. It is a flowchart which shows the flow of the modification of the process at the time of using a medical instrument. It is a sequence diagram which shows the flow of the modification of the process at the time of sterilization of a medical instrument. It is a sequence diagram which shows the flow of the process at the time of the stock management in the sterilization factory of the medical instrument. It is a sequence diagram which shows the flow of processing at the time of inventory management in a dental clinic of a medical instrument.

[First Embodiment]
The configuration of the medical device management system according to the embodiment of the present invention will be described with reference to FIG. As shown in FIG. 1, the medical instrument management system 1 includes a reading device 3 and a management device 2. The reading device 3 reads the identification information of the medical device from the identifier C provided in the medical device DI. The management device 2 determines the shipment of the medical device DI based on the state of the medical device specified by the identification information. In the present embodiment, the management device 2 manages the state of a plurality of medical instruments.

In the medical instrument management system 1, the manufacturer M includes a sterilization factory 5 for sterilizing the medical instrument DI in the sterilization bag B, and a warehouse 50 for storing the sterilized medical instrument DI. It is assumed that the warehouse 50 is arranged in, for example, the sterility factory 5. The warehouse 50 may be arranged separately from the sterility factory 5, or the maker M or the sterility factory 5 may be provided with the management device 2.
Further, the maker M includes, for example, a reading device 3 and an information processing device 51. The information processing device 51 is composed of, for example, a personal computer or a tablet terminal. The reading device 3 and the information processing device 51 are connected to an in-house network, and are configured to be able to transmit and receive information to and from the management device 2 and the information processing device 6 of the clinic 4 via a network NW such as the Internet. Has been done. The reading device 3 may be a mobile terminal having a reading function for reading the identification information of the medical device from the identifier C, for example, a smartphone. In that case, the reading device 3 can be connected to the management device 2 or the like via a network NW such as the Internet without going through the in-house network.

The clinic 4 includes, for example, a reading device 3, an information processing device 6, and a dental unit 7. The information processing device 6 is configured as, for example, a receipt computer that manages medical record information and the like. The dental unit 7 is equipped with, for example, a patient chair, a dental instrument hanger, and other dental treatment equipment. The dental treatment equipment includes, for example, an auto curan (automatic cup faucet), a spitton, a surgical light, a vacuum, and the like, but the illustration and description are omitted. The reading device 3, the information processing device 6, and the dental unit 7 are connected to the hospital network, and further, between the management device 2, the information processing device 51 of the manufacturer M, and the like via a network NW such as the Internet. It is configured to be able to send and receive information with.

The medical instrument DI is an instrument used for diagnosis, treatment, and the like. The dental medical instrument DI includes, for example, an air turbine handpiece, a micromotor handpiece, a scaler, and the like. The medical instrument DI is not limited to these, and may be a dental explorer (probe), a dental mirror, tweezers, a vacuum cannula, or the like.

[First example of subscription method]
In the medical device management system 1, the maker M ships the medical device DI to the clinic 4 by the delivery vehicle F, and the maker M collects the used medical device DI from the clinic 4 by the collection box R. Here, as the first example of the subscription method, the clinic 4 has a contract with the manufacturer M to freely use a predetermined number of medical instruments DI delivered at one time within a predetermined service period. It shall be concluded. In the present embodiment, for example, the service period is one month, the predetermined number is 100, and the maker M delivers 100 medical instruments DI to the clinic 4 at a time on the first day of every month. Then, for example, at the time of the next delivery, the maker M collects the medical device DI previously delivered, including the unused portion.

The identifier C is provided in the medical instrument DI. As the identifier C, a two-dimensional code or a wireless tag in which the identification information of the medical device is stored can be used. The two-dimensional code may be, for example, a QR code (registered trademark). For example, when the QR code engraved on the surface of the medical instrument DI by laser processing is the identifier C, the reading device 3 is composed of a QR code reading device.
Further, the wireless tag may be embedded inside the medical device DI or may be attached to the surface of the medical device DI. For example, when the wireless tag embedded in the medical device DI is the identifier C, the reading device 3 is composed of, for example, an RFID (Radio Frequency Identification) reader / writer. In that case, the reading device 3 may be a box-type reading device that reads each information stored in all the wireless tags placed on the table or in the box.

Hereinafter, an example of the configuration of each device of the medical device management system 1 will be described with reference to FIG. 2. FIG. 2 is a block diagram showing an example of the configuration of each device of the medical equipment management system. The management device 2 includes an information storage unit 8, a state information calling means 9, a state information updating unit 20, and a determination unit 10.

The information storage unit 8 is composed of, for example, a RAM (Random Access Memory), a ROM (Read Only Memory), or the like, and stores various information and operation programs required for the management device 2. The information storage unit 8 includes, for example, a state information storage unit 29. The state information storage unit 29 stores the state information of the medical device associated with the identification information of the medical device. The data stored in the state information storage unit 29 is data related to a huge number of medical instruments DI. The status information of the medical instrument includes at least sterility information 120. The sterility information 120 is information regarding sterility of the medical instrument DI. The sterility information 120 preferably includes the sterilization time, and may be, for example, a case where words such as sterilized and unsterilized, or words such as processed and untreated are recorded. Words such as unsterilized and untreated are not only when they have never been sterilized, but also when they have been sterilized in the past but need to be sterilized again before new use. Also means. In addition, when it is necessary to sterilize again, there are cases where the medical instrument DI is used after sterilization and cases where the sterility expiration date and storage period have expired without using the medical instrument DI after sterilization. include. When the sterility information 120 includes the sterility time, it means that the sterility has been completed at least once. In the following, the sterility time indicates the time when the latest sterilization process is completed unless otherwise specified, and is represented by, for example, the date and hour.

The state information of the medical device can include the usage information 150. The usage information 150 is information indicating that the medical instrument DI has been used by the user. The usage information 150 includes, for example, a usage time. The use time is preferably, for example, the time when the use is completed, and is represented by the date and hour. The usage time may be the time when the usage is started. When the medical instrument DI is, for example, an instrument, the time when the use is completed means, for example, the time when the instrument is stopped or the time when the instrument is attached to the dental instrument hanger at the end of the medical treatment. In this case, the time when the instrument is started means, for example, the time when the instrument is started, the time when the instrument is attached to the dental instrument hanger, or the time when the instrument is removed from the dental instrument hanger. .. In the following, the usage time will be described as the time when the previous usage was completed unless otherwise specified.
The usage information 150 may include, for example, the number of times the medical instrument DI has been used, or may include the elapsed time of use. Further, the usage information 150 may include both the number of times the medical instrument DI has been used and the elapsed time of use. It should be noted that the number of times of use is not the number of times of use during one medical treatment, but the cumulative number of times of use corresponding to the number of medical treatments counted from the date and time when the medical equipment DI was first used. Further, the elapsed use time is not the elapsed time during one medical treatment, but the cumulative elapsed time elapsed from the date and time when the medical instrument DI is first used.

The state information of the medical device can include the history information 160 accumulated for each identification information when the information is set, updated, or changed. The history information 160 includes, for example, sterility history information indicating when the sterilization process is completed each time, and usage history information indicating when the use by each medical treatment is completed.

In the medical equipment management system 1, if the dental clinic 4 has used the medical equipment purchased by himself / herself in the past and then decides to use the subscription-type service, the personal belongings owned by the dental clinic 4 are used. Services can be provided to sterilize medical instruments. In this case, the information storage unit 8 stores the owner information 170 indicating the owner of the medical device DI. In the example shown in FIG. 2, the owner information 170 is stored in the state information storage unit 29, which is an example. The owner information 170 is stored in the information storage unit 8 in association with the identification information of the medical device. The owner information 170 is specifically the name of the dental clinic 4 or the name of the dentist. When the state information storage unit 29 has the storage structure shown in FIG. 3C, the owner information "Dr. Yoshida Taro" of the personally owned medical device specified by the model number "TZ02" is the name of the dentist. be. The medical device DI in which the owner information 170 is stored is the property of an individual and is used only by the owner. The medical device DI in which the owner information 170 is not stored is not the property of an individual and can be used by anyone who uses this service.

The state information calling means 9 manually or automatically calls the state information of the medical device from the state information storage unit 29 based on the identification information of the medical device read by the reading device 3. When calling manually, for example, an operator such as an operator or an administrator operates the management device 2, and the state information calling means 9 reads the state information and displays it on the screen display unit of the management device 2. Further, the state information calling means 9 can automatically call the state information by using a predetermined event as a trigger to cause the management device 2 to execute a predetermined command. For example, it may be triggered by receiving the identification information of the medical device together with a predetermined command from an external device of the management device 2.

As illustrated in FIG. 3A, when the item registered in the identifier C of each medical device is a model number, the model number “TZ01” is the identification information of a specific medical device. When the state information storage unit 29 has the storage structure shown in FIG. 3B, the state information calling means 9 calls, for example, the sterility completion date and time and the use end date and time using the model number “TZ01” as a search key.

The state information update unit 20 manually or automatically updates necessary information from the called state information. When updating manually, the operator operates the management device 2, and the state information updating unit 20 updates the information stored in the state information storage unit 29. Further, as will be described later, the state information updating unit 20 automatically updates the usage information 150 stored in the state information storage unit 29 according to a command at the time of use. Further, as will be described later, the state information updating unit 20 automatically updates the sterility information 120 stored in the state information storage unit 29 according to the sterility command.

The determination unit 10 determines the state of the medical device from the state information of the medical device. The determination unit 10 has a shipment determination means 11. The shipping determination means 11 determines whether or not the sterility information 120 is stored in the state information storage unit 29 for the medical instrument DI stored in the sterility factory 5. If the sterility information 120 is not stored in the state information storage unit 29, the shipping determination means 11 determines that the sterility factory 5 cannot ship the medical instrument DI to the user.

The shipping determination means 11 determines before and after the sterility time included in the sterility information 120 and the usage time included in the usage information 150 stored in the state information storage unit 29, and the sterility time is later than the usage time. If this is the case, it is determined that the medical device DI can be shipped. For example, when the data shown in FIGS. 3 (b) and 3 (c) are stored in the medical instrument DI stored in the sterility factory 5, the sterility completion date and time is later than the use end date and time. The shipping determination means 11 determines that the medical device DI can be shipped.

Further, when the sterility time is earlier than the use time, the shipping determination means 11 determines that the medical instrument DI cannot be shipped and that the medical instrument DI has been used. When the sterility completion date and time is earlier than the use end date and time as described above, the medical instrument DI is sent to the sterilization step for reuse, or is sent to the sterilization step through the washing step.

As shown in FIG. 2, the management device 2 includes a medical device allocating means 21. The medical instrument allocating means 21 allocates the medical instrument DI stored in the sterility factory 5 to the shipping destination. The medical device allocating means 21 allocates the required number of medical device DIs in order from the oldest sterility time included in the sterility information 120 stored in the state information storage unit 29 to the shipping destination to be the user. The medical device allocation means 21 allocates the medical device DI to the user according to the number information of the medical device DI to be shipped and the shipping destination information. The shipping destination information is information such as the address of the shipping destination, and specifically, the name of the clinic of the dental clinic 4 or the name of the dentist.

The medical device allocation means 21 preferentially allocates the medical device DI owned by the user to the user specified by the shipping destination information based on the owner information 170. Here, priority is given to the case where the user specified by the shipping destination information uses a service in which, for example, 10 medical instruments DI are owned by the user and 100 medical instruments DI are delivered every month. , 10 out of 100 means that the medical equipment DI owned by oneself is assigned. The medical device DI in which the owner information 170 is stored is used only by the owner. When the state information storage unit 29 has the storage structure shown in FIG. 3C, the owner information “Dr. Yoshida Taro” of the personally owned medical device specified by the model number “TZ02” and the shipping destination information “Dr. . Yoshida Taro "is consistent.

If the owner corresponding to the user specified in the shipping destination information is not stored in the state information storage unit 29, the medical device allocating means 21 provides the user with the medical device DI that is not the property of the individual. assign. In FIG. 3 (c), if the owner information of the medical device is blank, it means that the owner information of the medical device is not stored or the owner of the medical device does not exist.

The management device 2 stores the shipping destination information in the state information storage unit 29 in association with the identification information of the medical device, and deletes the stored information after use of the medical device and before storage. Specifically, in FIG. 3C, if the owner information of the medical device is blank and the shipping destination information is blank, the shipping destination information is stored in the state information storage unit 29 at the time of shipping the medical device. You may memorize it in. However, in this case, the shipping destination information data is erased after the medical instruments shipped to the shipping destination are used and before they are collected by the manufacturer, sterilized, and stored. This makes it possible to prepare for the next shipment.

As shown in FIG. 2, the management device 2 includes a delivery information creating means 22. The delivery information creating means 22 creates delivery information for delivering the medical instrument DI at the time of shipment from the warehouse 50 of the sterility factory 5. The shipping time is a predetermined date and time in time for the shipping date and time, for example, 24 hours before the shipping date and time. The delivery information creating means 22 creates delivery information, for example, when the determination unit 10 determines that the shipping time has come. The delivery information creating means 22 may create delivery information for each medical instrument DI, or may create delivery information for a plurality of medical instruments DI of the same type.

The delivery information includes, for example, shipping destination information such as the shipping date and address of the shipping destination, address, contact information, identification information of medical equipment, type of medical equipment DI, number information such as the number of medical equipment DI, and the like. .. The delivery information creating means 22 creates delivery information of the medical device DI determined to be capable of shipping by the shipping determining means 11. The delivery information creating means 22 transmits the delivery information to, for example, the information processing apparatus 51 of the sterilization factory 5 via the network NW.

As shown in FIG. 2, the management device 2 includes a storage period setting means 23 and a shipping date setting means 25. The storage period setting means 23 sets the storage period for which sterility of the medical device DI is effective in the state information storage unit 29 in association with the identification information of the medical device. The storage period information is associated with the identification information of the medical device, and is stored in, for example, the usage information 150 and the history information 160 of the state information storage unit 29.

The medical instrument DI is sealed in the sterilization bag B and then sterilized by the sterilizer. The sterilization bag B is provided with a chemical indicator that changes color after sterilization. After sterilization, the expiration date of sterility of the medical instrument DI depends on the strength of the sterilization bag B, the type of sterility, or the handling condition such as transportation and storage of the sterilization bag B, and is set according to the clinic 4. ing. Even if the sterility of the medical instrument DI is effective for one year, for example, the storage period of the sterilized sterilization bag B is generally set to 1 to 6 months. Therefore, the storage period setting means 23 may be used, for example, according to the request of the target clinic 4, or depending on the strength of the sterilization bag B, the type of sterility, or the handling state of the sterilization bag B such as transportation and storage. Set to ~ 6 months. For example, if the storage period is uniformly set to 3 months in the manufacturer M, the storage period setting means 23 sets the storage period of 100 medical instruments DI stored after sterilization on April 1, 2020 to July 2020. Set to 1 day.

The shipping date setting means 25 sets the shipping date of the medical device DI in the state information storage unit 29 in association with the identification information of the medical device. The shipping date information is associated with the identification information of the medical device, and is stored in, for example, the usage information 150 and the history information 160 of the state information storage unit 29. When the maker M delivers, for example, 100 medical instruments DI to the clinic 4 on the 1st day of every month, the shipping date setting means 25 sets the shipping date of 100 medical instruments DI, for example, May 1, 2020. Set to. In this case, in the warehouse 50 of the sterilization factory 5, the medical equipment DI whose sterility validity period exceeds the next delivery date to the clinic 4 (June 1, 2020) is prepared, and these are 2020. Ships on May 1, 2014.

When the sterility information 120 is stored in the state information storage unit 29 for the medical instrument DI stored in the sterilization factory 5, the shipping determination means 11 determines before and after the shipping date and the storage deadline, and the storage deadline is shipped. If it exceeds the day, it is determined that the medical device DI can be shipped. For example, in the case of a medical device DI whose storage period is set to July 1, 2020 and the shipping date is set to May 1, 2020, the shipping determination means 11 can ship the medical device DI. Is determined to be. On the contrary, in the case of the medical device DI whose storage period is set to May 1, 2020 and the shipping date is set to July 1, 2020, the shipping determination means 11 ships the medical device DI. Is determined to be impossible. Those whose storage period has already expired or which are about to expire are torn the sterilization bag B and placed in the sterilization process again.

As shown in FIG. 2, the determination unit 10 of the management device 2 has an overuse determination means 15. When the usage information 150 includes the number of times of use, the overuse determining means 15 determines whether or not the number of times of using the medical device DI exceeds the specified value. For example, when the medical instrument DI is an air turbine handpiece, the specified value of the number of times of use may be set to 2000 times, and if the specified value is exceeded, the rotating member may be replaced.

Further, when the usage information 150 includes the usage elapsed time, the usage excess determination means 15 may determine whether or not the usage elapsed time of the medical device DI exceeds a predetermined value. For example, when the medical instrument DI is a micromotor handpiece, the specified value of the elapsed use time may be set to 3 months, and if the specified value is exceeded, the motor may be maintained.
Similarly, when the usage information 150 includes the number of times of use and the elapsed time of use, the overuse determining means 15 determines whether or not the number of times of use of the medical device DI exceeds the specified value of the number of times, and the elapsed time of use has elapsed. It may be determined whether or not the specified value of time has been exceeded.

In the present embodiment, the overuse determining means 15 determines, as an example, whether or not the number of times the medical device DI has been used exceeds the specified value. For example, when the overuse determining means 15 exceeds the first specified value, the overuse determining means 15 determines that maintenance of the medical instrument DI is necessary. In this case, when the overuse determining means 15 reaches the second specified value larger than the first specified value, the overuse determining means 15 determines that the medical instrument DI needs to be discarded.
The overuse determining means 15 notifies the overuse notifying means 43 of the determination result.

The overuse notification means 43 notifies that the number of times of use has exceeded the specified value. The overuse notification means 43 may perform a voice display such as sounding a buzzer or making a voice announcement, or may perform a visual display such as a display display. This makes it possible to notify, for example, the administrator of the management device 2 that the medical instrument DI is overused.

Further, the overuse notification means 43 is not limited to the form of notifying the administrator of the management device 2. In the present embodiment, the overuse notification means 43 notifies the dental unit 7 of the clinic 4 via the network NW that the number of times the medical instrument DI has been used and the elapsed time of use have exceeded the specified values. It is also good (hereinafter referred to as network notification). Alternatively, the network notification and the notification to the administrator of the management device 2 may be used together.

In the present embodiment, as an example, the overuse notification means 43 will be described as performing network notification. As a result, the dental unit 7 of the clinic 4 can notify the doctor and the staff of the clinic 4 by a warning display and / or a warning sound that the medical instrument DI is overused. It should be noted that the notification means for notifying by the warning display and / or the warning sound of the dental unit is known as described in, for example, Japanese Patent Application Laid-Open No. 2009-273718, and the dental unit 7 is such a notification means. May be provided.
Further, in the present embodiment, when the overuse notification means 43 receives a notification from the use determination means 13 that the storage period of the medical instrument DI has exceeded the storage period, the dental unit 7 is notified of the medical instrument DI. Notify the network of the unavailability of.

Here, the information processing device 6 and the dental unit 7 of the clinic 4 will be described. The information processing apparatus 6 stores medical information 180 so that it can be called and updated, for example, as a receipt computer. The medical information 180 is information related to the medical treatment of the patient. Here, the medical information 180 includes information relating to the patient's dentistry in general. Specifically, the medical information 180 includes, for example, medical record information of the patient, reservation information to the clinic 4 of the patient, medical equipment information used for medical treatment, medical receipt information of the patient, image information of the affected area, and the like. The personal information of patients is strictly managed.

Further, the information processing apparatus 6 stores the operator information 190 so that it can be called and updated. The operator information 190 is information that identifies the operator. The operator information is, for example, the operator's name, ID number, or identification information such as an authenticateable face image or fingerprint. The operator information 190 may include information such as the type of medical instrument DI used by each operator when performing one medical treatment for each operator.

The dental unit 7 includes a control device equipped with a CPU, a memory, and the like for driving and controlling a patient chair, a dental instrument hanger, and the like, and the control device is the same as the information processing device 6. The medical information 180 and the operator information 190 are stored so that they can be called and updated. The dental unit 7 includes a reading device 71 and a transmitting means 73.

The reading device 71 is composed of an RFID reader, and when the identifier C provided in the medical device DI is a wireless tag, the identification information of the medical device is read from the identifier C. A dental unit equipped with an instrument hanger and an RFID reader / writer for identifying only the instrument in use is known, for example, as described in Japanese Patent Application Laid-Open No. 2009-273718. Therefore, the dental unit 7 may include such an RFID reader / writer as a reader 71.

The reading device 71 notifies the transmitting means 73 of the identification information of the read medical device. The transmission means 73 transmits the identification information of the medical device to the management device 2 via the network NW as information indicating that the medical device DI is used. The reading device 3 provided in the clinic 4 may be configured by a QR code reading device or an RFID reader / writer, depending on the form of the identifier C provided in the medical instrument DI.

The description of the configuration of the management device 2 will be continued.
As shown in FIG. 2, the management device 2 includes a receiving means 27, a use determining means 13, and a storage excess notification means 41. The receiving means 27 receives information from the outside via the network NW. When the receiving means 27 receives the identification information of the medical device from the dental unit 7 of the clinic 4 as information indicating that the medical device DI is used, the received identification information of the medical device is used as the use determination means 13. Notice.

In the use determination means 13, the date and time when the medical device DI is used in the clinic 4 is set in the medical device DI based on the storage period set in the state information storage unit 29 associated with the identification information of the medical device. It is used to determine whether or not the storage period is within the storage period. The use determination means 13 uses the identification information of the medical device notified from the receiving means 27 as a search key to extract the storage period as the usage information of the medical device from the state information storage unit 29, and whether the day is within the storage period. It is determined whether or not it is present, and the determination result is notified to the storage excess notification means 41.

The storage excess notification means 41 notifies the dental unit 7 when the date and time when the medical instrument DI is used exceeds the storage deadline. The storage excess notification means 41 may perform a voice display such as sounding a buzzer or making a voice announcement, or may perform a visual display such as a display display. As a result, for example, the administrator of the management device 2 can be notified that the medical device DI whose storage period has expired is about to be used. In the present embodiment, as an example, the storage excess notification means 41 performs network notification to the dental unit 7 of the clinic 4 via the network NW.

As shown in FIG. 2, the determination unit 10 of the management device 2 has a storage excess determination means 17. The storage excess determination means 17 determines whether or not the medical instrument DI is within the storage period for inventory management of the medical instrument DI in the sterility factory 5 or the dental clinic 4. That is, the storage excess determination means 17 is effective in sterilizing the medical instrument DI stored in the sterilization factory 5 or sterilizing the medical instrument DI already shipped to the dental clinic 4. Monitor whether or not. The storage excess determination means 17 is different from the use determination means 13 in that information reception from the dental unit 7 of the clinic 4 is unnecessary.

For example, the storage excess determination means 17 determines the current date and time and the storage deadline set in the medical device DI at a predetermined timing for the medical device DI stored in the sterility factory 5. If the current date and time exceeds the storage deadline, for example, the storage excess notification means 41 notifies the sterilization factory 5 that the storage deadline has expired. As an example, the storage excess notification means 41 shall perform network notification to the information processing apparatus 51 of the sterilization factory 5 via the network NW.

Further, the storage excess determination means 17 determines the current date and time and the storage deadline before and after the medical instrument DI shipped to the dental clinic 4 which is the user of the medical instrument DI at a predetermined timing. When the current date and time exceeds the storage deadline, for example, the storage excess notification means 41 notifies the dental clinic 4 of the storage expiration. As an example, the storage excess notification means 41 shall perform network notification to the information processing apparatus 6 of the dental clinic 4 via the network NW.
The configurations of the number of used number estimation means 31, the number of used number information storage unit 33, the usage fee billing means 35, and the information acquisition means 37 shown in FIG. 2 will be described later.

[Processing flow in the medical equipment management system]
Next, regarding the processing flow in the medical instrument management system 1, the medical instrument DI is shipped (FIG. 4, 5), used (FIG. 6), collected (FIG. 7), sterilized (FIG. 8), and in stock. The explanation will be given sequentially by classifying the time of management (FIGS. 9 and 10).
<At the time of shipment>
First, the flow of processing at the time of shipment will be described with reference to FIG. 4 (see FIGS. 1 and 2 as appropriate). The management device 2 monitors the shipping time of the medical device DI (step S1). Then, the management device 2 determines at a predetermined timing whether or not the target medical device DI has reached the shipping time (step S2). If it is not the shipping time (step S2: No), the management device 2 returns to step S1. On the other hand, if it is the shipping time (step S2: Yes), the management device 2 executes the delivery information creation process (step S20) by the delivery information creating means 22 and the medical device allocation means 21.

In the delivery information creation process (step S20), as shown in FIG. 5, the management device 2 generates the shipping destination information and the number information of the medical equipment DI to be shipped by the delivery information creating means 22 (step S201). .. Then, the management device 2 determines whether or not there is owner information that matches the shipping destination information in the state information storage unit 29 by the medical device allocation means 21 (step S202). When the owner matching the shipping destination is stored (step S202: Yes), the medical device allocating means 21 allocates the medical device in which the owner information is stored to the shipping destination (step S203). Then, the medical device allocating means 21 determines whether or not the number of medical devices shipped is sufficient (step S204). When the medical equipment is insufficient (step S204: No), the medical equipment allocating means 21 allocates the necessary number of medical instruments whose owner information is not stored in order to make up for the shortage (step S205). This delivery information creation process ends. The delivery information includes the above-mentioned shipping destination information, the number information, and the identification information of the medical equipment assigned by the medical equipment allocating means 21.

On the other hand, in step S204, when the medical equipment is sufficient (step S204: Yes), the medical equipment allocating means 21 ends this delivery information creation process. Further, in step S202, when the owner information matching the shipping destination information is not stored (step S202: No), the medical instrument allocation means 21 proceeds to step S205, and the owner information is not stored. The medical device is assigned to the shipping destination, and this delivery information creation process is completed. Returning to FIG. 4, the description of the processing flow at the time of shipment will be continued. Following step S20, the management device 2 transmits the created delivery information to the information processing device 51 of the sterilization factory 5 (step S3).

Then, in the sterility factory 5, the information processing apparatus 51 receives the delivery information (step S4). As a result, the worker of the sterility factory 5 receives the delivery information of the medical instrument DI (step S5). The worker picks the corresponding medical instrument DI from the warehouse 50 of the sterility factory 5 based on the delivery information (step S6). Then, in the distribution process, the worker performs an operation of reading the identification information of the corresponding medical device by the reading device 3 (step S7). At this time, the reading device 3 is set to a mode in which the factory command can be transmitted. The factory command is a command for causing the management device 2 to execute each of the following processes S10 to S13 and S16.

Then, the information processing device 51 of the sterility factory 5 receives the identification information read by the reading device 3 via the in-house network, and notifies the management device 2 of the received identification information together with the shipping command (step S8). Then, the management device 2 receives the identification information of the picked medical device via the network NW (step S9). For example, when the management device 2 is arranged in the sterility factory 5, the reading device 3 may directly notify the management device 2 together with the shipping command.

Then, the management device 2 calls the sterility time information (sterility completion date and time) and the use time information (use end date and time) of the medical instrument DI from the state information storage unit 29 (step S10). Then, the management device 2 determines whether or not the medical instrument DI is sterilized by the shipping determination means 11 (step S11). Here, the shipping determination means 11 determines that the medical instrument DI has been sterilized if the sterilization time information of the medical instrument DI is stored.

If the medical instrument DI is sterilized in step S11 (step S11: Yes), the shipping determination means 11 determines whether or not the shipping date of the medical instrument DI is within the storage period (step S12). Then, when the product is not sterilized in step S11 (step S11: No) and when the storage period has been exceeded in step S12 (step S12: No), the management device 2 performs information processing in the sterilization factory 5. A disapproval notification is transmitted to the device 51 (step S13). Then, when the information processing apparatus 51 receives the disapproval notification (step S14), the operator returns the picked medical instrument DI from the warehouse 50 to the work place of the sterilization factory 5, and performs cleaning or sterilization.

On the other hand, if the shipping date of the medical instrument DI is within the storage period in step S12 (step S12: Yes), the management device 2 transmits a shipping notification to the information processing device 51 of the sterility factory 5 (step S16). Then, when the information processing device 51 receives the shipping notification (step S17), the worker ships the picked medical device DI (step S18).

<When using>
Next, after the medical instrument DI is delivered to the clinic 4, the flow of processing when the medical instrument DI is used will be described with reference to FIG. 6 (see FIGS. 1 and 2 as appropriate). First, as an example, a case where the storage period of the medical device DI has been exceeded at the time of use after the medical device DI has been shipped to the clinic 4 will be described.
The dental unit 7 of the clinic 4 monitors the use of the medical instrument DI by the reading device 71 (step S21). The dental unit 7 determines whether or not the medical instrument DI is used (step S22). When the medical instrument DI is, for example, an instrument, the dental unit 7 determines whether or not the instrument is attached to the dental instrument hanger in the unit. Here, when the reading device 71 identifies, for example, the medical instrument DI attached to the dental instrument hanger, the dental unit 7 determines that the medical instrument DI will be used from now on. That is, at this time, the dental unit 7 determines that the medical instrument DI is in the standby state.

If the medical instrument DI is not in the standby state and is not used in step S22 (step S22: No), the dental unit 7 returns to step S21. On the other hand, when the medical instrument DI is in the standby state and will be used from now on (step S22: Yes), the reading device 71 of the dental unit 7 reads the identification information of the medical instrument to be used (step S23).

Then, the transmission means 73 of the dental unit 7 transmits the identification information of the medical instrument used in the clinic 4 to the management device 2 together with the command at the time of use via the network NW (step S24). At this time, the transmission means 73 is set to a mode in which the command at the time of use can be transmitted. The use command is a command for causing the management device 2 to execute the following processes of steps S26 to S28 and S31.

The management device 2 receives the identification information of the medical equipment to be used in the clinic 4 by the receiving means 27 (step S25). Then, the management device 2 calls up the usage information of the medical device DI from the state information storage unit 29 (step S26). The recalled usage information includes a retention period. Then, the management device 2 determines whether or not the current date and time is within the storage period of the medical device DI by the use determination means 13 (step S27).

If the storage period has been exceeded in step S27 (step S27: No), the management device 2 transmits an impossible notification to the dental unit 7 via the network NW by the storage excess notification means 41 (step S28). ). Then, in the clinic 4, when the dental unit 7 receives the non-notification (step S29), it notifies the medical instrument DI that is about to be used that the storage period has expired (step S30).

For example, refrain from using the medical instrument DI attached to the dental instrument hanger in the unit, and if there are other medical instruments remaining, notify them with the content of instructing them to use them. Alternatively, it is preferable to notify the clinic side to request additional delivery of a new medical device DI.

Next, as another example, a case where the storage period of the medical device DI has not been exceeded at the time of use after the medical device DI has been shipped to the clinic 4 will be described. In this case, the dental unit 7 and the management device 2 similarly execute the processes of steps S21 to S27. However, since the management device 2 does not transmit the disapproval notification to the dental unit 7, the medical instrument DI is used in the clinic 4. Therefore, in step S27, if the current date and time is within the storage period of the medical device DI (step S27: Yes), the management device 2 is included in the usage information called by the state information updating unit 20. The usage time information is updated (step S31). At this time, in the usage information 150, the usage start time may be rewritten to the current time, or the current time may be added to the usage information 150 as the usage start time while leaving the previous usage start time as the history information 160.

<At the time of collection>
Next, the flow of processing at the time of collecting the medical instrument DI from the clinic 4 to the maker M will be described with reference to FIG. 7 (see FIGS. 1 and 2 as appropriate). The distribution process shown in FIG. 7 is a distribution process at the time of collection of the medical instrument DI, and includes, for example, the entire process from the clinic 4 to the sterilization factory 5 on the return delivery vehicle F. The maker M collects the previously delivered medical device DI including the unused portion by the collection box R installed in the clinic, for example. The operator reads the identification information of the medical device by the reading device 3 (step S41).

The timing at which the operator operates the reading device 3 is an arbitrary timing in the distribution process at the time of collecting the medical instrument DI. For example, the stationary reading device 3 may be used after the worker arrives at the sterility factory 5. Further, when the operator uses the portable reading device 3, the reading operation may be performed at any timing from the clinic 4 to the return to the sterilization factory 5. Further, a worker other than the driver may perform the reading operation while the delivery vehicle F on the return route is moving.

Then, the reading device 3 notifies the management device 2 of the identification information of the medical device together with the collection time command via the network NW (step S42). At this time, the mode is set so that the reading device 3 can send a command at the time of collection. The recovery command is a command for causing the management device 2 to execute the following processes of steps S44 to S47, S50, S51, and S54.

Then, when the management device 2 receives the identification information of the medical instrument (step S43), the management device 2 receives the sterility time information (sterility completion date and time) and the use time information (use end date and time) of the medical instrument DI from the state information storage unit 29. Call (step S44). Then, the management device 2 determines whether or not the medical device DI has been used by the shipping determination means 11 (step S45). Here, the shipping determination means 11 is not a determination for shipping, but as a determination at the time of collection, when the sterility completion date and time is later than the use end date and time, the medical instrument DI is collected without being used. Is determined to be (not used).

When the medical device DI is collected in the unused state in step S45 (step S45: No), the management device 2 uses the use determination means 13 to determine whether the current date and time is within the storage period of the medical device DI. (Step S46). When the medical device DI has exceeded the storage period (step S46: No), and when the medical device DI has been used in the step S45 (step S45: Yes), the management device 2 identifies the medical device. The information is transmitted to the information processing device 51 of the sterility factory 5 via the network NW together with the determination that "cleaning is required" or "sterility is required" (step S47). Then, the information processing device 51 receives the identification information and the determination of the medical device from the management device 2 (step S48). As a result, the worker sends the medical instrument DI specified by the identification information to the cleaning step or the sterility step in the sterility factory 5 (step S49).

On the other hand, if the current date and time in step S46 is within the storage period of the collected medical device DI (step S46: Yes), the management device 2 uses the medical device DI collected by the overuse determining means 15. It is determined whether or not the number of times is within the specified value (step S50). When the number of times of use exceeds the specified value (step S50: No), the management device 2 determines that the identification information of the medical device is "needs to be disposed of" or "needs to be maintained", and sets the network NW. It is transmitted to the information processing device 51 of the sterilization factory 5 via (step S51). Then, the information processing device 51 receives the identification information and the determination of the medical device from the management device 2 (step S52). As a result, the worker disposes of the medical device DI specified by the identification information or sends it to the maintenance process (step S53).

On the other hand, if the number of times the collected medical device DI is used within the specified value in step S50 (step S50: Yes), the management device 2 states that the identification information of the medical device "needs to be stored". Together with the determination, the information is transmitted to the information processing apparatus 51 of the sterility factory 5 via the network NW (step S54). Then, the information processing device 51 receives the identification information and the determination of the medical device from the management device 2 (step S55). As a result, the worker stores the medical instrument DI specified by the identification information in the storage of the corresponding section of the warehouse 50 of the sterility factory 5 (step S56).

<At the time of sterility>
Next, the flow of processing during sterility of the medical instrument DI will be described with reference to FIG. 8 (see FIGS. 1 and 2 as appropriate). Here, the time of sterility is not limited to the sterility completion date and time in a strict sense, and may be a practical time. For example, the time when the medical instrument DI is enclosed in the sterilization bag B and then set in the sterilizer, the time when the sterility bag B is taken out from the sterilizer after the sterilization process is completed, and the sterilization bag B is transported to the warehouse 50 and specified. It may be the time until it is brought into the storage of the section, or the time when the worker visits the storage again before the worker finishes a series of work on the work day.

At the time of the above sterility, the worker may use the stationary reader 3 or the portable reader 3 in any of the sterility work area, the warehouse area, the transport wire area connecting the areas, and the like in the sterility factory 5, for example. , The identification information of the medical device is read from above the sterility bag B in which the target medical device DI is enclosed (step S61). Then, the reading device 3 transmits the identification information of the target medical device to the management device 2 together with the sterility command (step S62). At this time, the reading device 3 is set to a mode in which a command for sterilization can be transmitted. The sterility command is a command for causing the management device 2 to execute the process of the following step S64.

When the management device 2 receives the identification information of the target medical device via the network NW (step S63), the management device 2 calls the sterility time information (sterility completion date and time) of the medical device DI from the state information storage unit 29 (step S64). ). Then, the management device 2 updates the sterility time information called by the state information updating unit 20 (step S65). For example, in the sterility information 120, the sterility completion time may be rewritten to the current time, or the current time may be added to the sterility information 120 as the sterility completion time while leaving the previous sterility completion time as the history information 160.

<At the time of inventory management>
Next, the flow of processing during inventory management of the medical instrument DI will be described with reference to FIGS. 9 and 10 (see FIGS. 1 and 2 as appropriate). Here, the time of inventory management is an arbitrary timing set on the side of the management device 2, and does not trigger the reception of information from the dental unit 7 of the clinic 4.

First, as shown in FIG. 9, the management device 2 monitors the state information (sterility information) of the medical instrument DI stored in the sterility factory 5 (step S71). In addition, this state information includes the storage period regarding the sterility information of the medical instrument DI. The management device 2 sequentially calls the state information related to a huge amount of medical instruments stored in the state information storage unit 29 by the state information calling means 9. This work is started at a predetermined timing such as on time every day. Then, with respect to the medical device DI of the monitored object for which the state information is called, the management device 2 determines whether or not the current date and time is within the storage period of the medical device DI of the monitored object by the storage excess determination means 17 (step S72). ). If the storage period has been exceeded (step S72: No), the management device 2 transmits a storage period expiration notification to the information processing device 51 of the sterilization factory 5 via the network NW by the storage excess notification means 41 (step). S73). Here, the storage deadline overdue notification includes, for example, information such as identification information of the medical device DI to be monitored, the type of medical device, the number of medical devices, the storage period of the medical device, the storage location of the medical device, and the like.

Then, in the sterilization factory 5, the information processing apparatus 51 receives the storage deadline overdue notification (step S74), and notifies the monitored medical device DI stored in the sterilization factory 5 that the storage period has expired (step). S75). The information processing device 51 performs a display recognizable by the operator or operator of the information processing device 51, for example, by setting a reception flag for notification of overdue storage. As a result, the worker sends the medical instrument DI specified by the storage deadline overdue notification to the re-sterility step in the sterility factory 5 (step S76). By doing so, it is possible to avoid a situation in which the medical instrument DI is stored in the sterilization factory 5 for a long period of time, and when the product is shipped, the effective storage period for sterilization has expired and the product cannot be shipped.

Next, as shown in FIG. 10, the management device 2 monitors the state information (sterility information) of the medical instrument DI shipped to the dental clinic 4 (step S77). Then, the management device 2 determines whether or not the current date and time is within the storage period of the medical device DI to be monitored by the storage excess determination means 17 (step S72). If the storage period has been exceeded (step S72: No), the management device 2 transmits a storage period expiration notification to the information processing device 6 of the dental clinic 4 via the network NW by the storage excess notification means 41 (step). S73).

Then, in the dental clinic 4, the information processing apparatus 6 receives the storage deadline expiration notification (step S74), and notifies the monitored medical instrument DI stored in the dental clinic 4 that the storage deadline has expired (step S74). S75). The information processing apparatus 6 performs a display recognizable by the operator and staff of the information processing apparatus 6, for example, setting a reception flag for notification of overdue storage. This allows the staff to recognize that the sterilization expiration date of the medical instrument DI specified in the storage expiration notice has expired. By doing so, it is possible to avoid a situation in which the medical instrument DI is stored in the dental clinic 4 for a long period of time, and when it is used, the effective storage period for sterilization has expired and it becomes unusable.

[Second example of subscription method]
Next, a second example of the subscription method will be described. In this case, it is assumed that the clinic 4 has entered into a contract with the manufacturer M so that the predetermined number of medical instruments DI can be delivered multiple times within the service period. For example, the service period is one month, the predetermined number is 100, and the maker M delivers 100 medical instruments DI at a time to the clinic 4 at the first time. Then, the maker M grasps the remaining number of unused medical instrument DIs in the clinic 4, and when the remaining number becomes a predetermined number (for example, 80) or less, 100 medical instruments DI are again used in the clinic 4. Deliver to. At this time, the medical instrument DI delivered last time may be collected including the unused portion. Alternatively, at the time of the first delivery of the next month, all the medical instruments DI for the previous month may be collected.

Next, in the medical instrument management system 1 of FIG. 1, the difference in the system configuration when compared with the first example when the second example of the subscription method is implemented will be described.
The collection box R in FIG. 1 is provided with a sensor for detecting the number of used medical instruments DI, and the collection box R is temporarily placed in the clinic 4 at the time of delivery. It shall be requested to store only the items in the collection box R. Then, when a specified number (for example, 20) of used medical equipment DIs are stored in the collection box R, the sensor of the collection box R is, in other words, an unused medical equipment DI that is not stored in the collection box R. When the remaining number of the above is less than or equal to a predetermined number (for example, 80), the maker M is notified via, for example, the dental unit 7.

When the sensor provided in the collection box R is a weight sensor, for example, when the weight of 20 medical instruments DI is detected, the manufacturer M may be notified. Further, 20 partition spaces may be provided in the collection box R so that the used medical equipment DIs can be arranged and arranged in order, and for example, an optical sensor or the like may be provided in the 20th partition space. good. In this case, when the optical sensor or the like detects that the 20th medical instrument DI has been stored, the manufacturer M is notified.

Further, in the management device 2 of FIG. 2, the shipping date setting means 25 sets the date on which the medical device DI is delivered for the first time within the service period (for example, one month) as the shipping date. Further, the delivery information creating means 22 is, for example, when the determination unit 10 determines that the shipping time (first delivery time) has been reached, and also when receiving a notification from the sensor provided in the collection box R. Also create shipping information.

Next, the difference in the processing flow in the medical device management system 1 when compared with the first example of the subscription method will be described. In the second example, regarding the processing flow, the time of shipment (FIG. 11) of the medical instrument DI is different, and the time of use (FIG. 6), collection (FIG. 7), sterility (FIG. 8), and inventory management (FIG. 8). 9. FIG. 10) is the same.

<At the time of shipment>
The flow of processing at the time of shipment will be described with reference to FIG. 11 (see FIGS. 1, 2, 4 and 5 as appropriate). The management device 2 monitors the remaining number of unused medical instruments DI in the clinic 4 (step S101). Then, the management device 2 determines whether or not the remaining number of unused medical instruments DI remaining in the clinic 4 is equal to or less than a predetermined number (step S102). If the remaining number of unused medical instruments DI is larger than the predetermined number (step S102: No), the process returns to step S101.

On the other hand, when the notification is received from the sensor of the collection box R, that is, when the remaining number is equal to or less than the predetermined number (step S102: Yes), the management device 2 is subjected to the delivery information creating means 22 and the medical device allocating means 21. , The delivery information creation process described above is executed (step S20: see FIG. 5). Then, the management device 2 transmits the created delivery information to the information processing device 51 of the sterility factory 5 (step S3). Since the processing after step S3 is the same as the processing shown in FIG. 4, further description will be omitted.

[Third example of subscription method]
Next, a third example of the subscription method will be described. In this case, the clinic 4 does not provide daily medical appointment information with the manufacturer M within a predetermined service period, but instead delivers a predetermined number of medical instruments DI required for daily medical treatment. It is assumed that you have entered into a contract that you can receive again and again. For example, the service period is one month, and the maker M grasps the required number of medical instruments DI used for medical treatment reserved X days ahead at the clinic 4. Then, each time, the maker M prepares the number of medical instruments DI required for the medical treatment reserved X days ahead and delivers them to the clinic 4 as the delivery amount X days ahead. At this time, the medical instrument DI delivered last time may be collected.

Next, in the medical instrument management system 1 of FIG. 1, the difference in the system configuration when compared with the first example in the case of implementing the third example of the subscription method will be described.
As shown in FIG. 2, the management device 2 includes an information acquisition means 37 and a used number estimation means 31. The information acquisition means 37 acquires information stored in an external information processing device via the network NW. The external information processing device is, for example, an information processing device 6 which is a receipt computer in the clinic 4. The external information processing device may be a dental unit 7 that stores the same information as the information processing device 6. The information acquisition means 37 acquires medical information 180 including medical appointment information and operator information 190, and notifies the number of used estimation means 31.

The used number estimation means 31 estimates the number of used medical instruments DI required on the medical appointment date based on the medical information 180 acquired from an external information processing device. The number of medical instruments DI used for scheduled medical treatment X days ahead in the individual clinic 4 can be estimated from, for example, the past usage record. Machine learning may be used as the estimation method. The used number estimation means 31 notifies the delivery information creating means 22 of the information of the estimated value of the used number. In addition, for example, in order to deal with the sudden increase in the required number due to an emergency, the number of used number estimation means 31 adds information on the number of used number to the estimated value of the number of used number and a predetermined value (for example, several) for reserve. It is preferable to notify.

The used number estimation means 31 extracts the medical device information input to the medical information 180 and estimates the number of used medical devices DI. The number of used number estimation means 31 acquires, for example, the number of medical treatments reserved X days ahead and individual medical treatment contents based on the medical treatment reservation information acquired from the dental unit 7. Further, the number-of-use estimation means 31 acquires, for example, the type and quantity of the medical instrument DI used for each medical treatment reserved X days ahead based on the medical instrument information acquired from the dental unit 7.

The number of used estimation means 31 estimates the necessary medical instrument DI from the medical information 180 and the operator information 190. Even if the individual medical treatment contents reserved X days in advance are the same, the medical treatment instrument DI used may differ between the treatment method when the doctor A treats and the treatment method when the doctor B treats. Therefore, by using the surgeon information 190 as the information of the person in charge of the appointment medical treatment X days ahead, the number of medical instruments DI required on the day can be accurately estimated.

The delivery information creating means 22 of the management device 2 may generate the number of used medical appliances DI estimated by the used number estimating means 31 as the number information. In this case, the medical device allocating means 21 can allocate the used medical device estimated by the used number estimating means 31 to the shipping destination. Further, the medical device allocation means 21 may have an extraction means for extracting the medical appointment date as the scheduled use date from the medical information 180. In this case, the medical device allocating means 21 allocates from the oldest sterility time information without exceeding the scheduled use date.

In the management device 2, the shipping date setting means 25 sets the date on which the medical device DI is delivered for the first time within the service period (for example, one month) as the shipping date. Further, the delivery information creating means 22 delivers, for example, not only when it is determined by the determination unit 10 that the shipping time (first delivery time) has come, but also when a notification is received from the used number estimation means 31. Create information.

In the case of the third example of the subscription method, the maker M delivers the required number of medical instruments DI to the clinic 4 almost every day during the service period (1 month). Therefore, as shown in FIG. 2, the management device 2 includes a used number information storage unit 33 and a usage fee billing means 35. The used number information storage unit 33 stores the used number information for each customer. The usage fee billing means 35 calculates the usage fee from the usage number information for each predetermined period, and sends the calculated usage fee invoice to the customer. Here, the customer is, for example, the clinic 4. In addition, the usage fee is a fee added as an option fee according to the actual number of used services for each customer, in addition to the basic fee for the flat-rate service for a predetermined service period (1 month) of the subscription.

Next, the difference in the processing flow in the medical device management system 1 when compared with the first example of the subscription method will be described. In the third example, the time of shipment of the medical instrument DI (FIG. 12) is different for the processing flow.
<At the time of shipment>
The flow of processing at the time of shipment will be described with reference to FIG. 12 (see FIGS. 1, 2 and 4 as appropriate). At the clinic 4, an operator such as a medical staff operates the information processing device 6 which is a receipt computer, and the information processing device 6 calls the medical information 180 (step S111). Then, by the operation of the operator, the information processing device 6 transmits the medical care information including the medical care reservation information X days ahead to the management device 2 via the network NW (step S112).

The management device 2 receives the medical information including the medical appointment information X days ahead at the clinic 4 by the information acquisition means 37 (step S113). Then, the management device 2 estimates the number of medical instruments DI required for medical treatment X days ahead and the number thereof by the number of used number estimation means 31 (step S114). Then, the management device 2 executes the above-mentioned delivery information creation process by the delivery information creating means 22 and the medical instrument allocation means 21 (step S20: see FIG. 5). Then, the management device 2 transmits the created delivery information to the information processing device 51 of the sterility factory 5 (step S3). Since the processing after step S3 is the same as the processing shown in FIG. 4, further description will be omitted. In FIG. 12, up to step S9 is shown, and steps S10 and subsequent steps are omitted.

[Second Embodiment]
The configuration of each device of the medical device management system 1B according to the second embodiment will be described with reference to FIG. The same components as those shown in FIG. 2 are designated by the same reference numerals, and the description thereof will be omitted as appropriate. As shown in FIG. 13, the medical instrument management system 1B includes an identifier T, a read / write device 3B, and a management device 2B. The identifier T is provided in the medical instrument DI. As the identifier T, a wireless tag in which identification information of a medical device or the like is stored is used. The identifier T includes a state information storage unit 29B.

As shown in FIG. 13, the state information storage unit 29B stores sterility information 120, usage information 150, history information 160, and owner information 170. Further, the state information storage unit 29B may have, for example, the storage structure shown in FIGS. 3 (b) and 3 (c). The data stored in the state information storage unit 29B is data only for the medical device DI provided with the identifier T, and the amount of data is the data stored in the state information storage unit 29 of the management device 2 of the first embodiment. It is minute compared to the amount.

For example, the owner information 170 stored in the state information storage unit 29B of the identifier T is the owner information of the medical device DI provided with the identifier T. On the other hand, the owner information 170 stored in the information storage unit 8 of the management device 2 of the first embodiment is the owner information about a large number of medical instruments shipped and managed by the management device 2.
In the following, as an example, as in the first embodiment, the owner information 170 for a large number of medical instruments shipped and managed by the management device 2B is used as the identification information of each medical device in the information storage unit 8B of the management device 2B. It is explained as being associated and stored.

The read / write device 3B reads and writes information from the identifier T provided in the medical instrument DI. The read / write device 3B is composed of, for example, an RFID reader / writer. In the second embodiment, the maker M and the sterility factory 5 (see FIG. 1) are provided with a read / write device 3B, and may also be provided with a read-only read device 3. As shown in FIG. 13, the clinic 4 is provided with a read / write device 3B, and may also be provided with a read-only read device 3.

[First example of subscription method]
Here, as the first example of the subscription method, the clinic 4 has a contract with the manufacturer M to freely use a predetermined number of medical instruments DI delivered at one time within a predetermined service period. It shall be concluded.

The management device 2B determines the shipment of the medical device DI based on the state of the medical device specified by the identification information. The management device 2B includes an information creation unit 45. The information creation unit 45 creates information to be written in the identifier T. For example, when an operator such as an operator or an administrator operates the management device 2B, the information creation unit 45 functions as a document creation / editing means for creating information such as sterility time information and use time information.

Further, the management device 2B includes a state information calling means 9, a state information updating unit 20, a determination unit 10, a medical device allocating means 21, a delivery information creating means 22, a storage deadline setting means 23, and a shipping date setting. The means 25, the overuse notifying means 43, and the receiving means 27 are provided, and the determination unit 10 includes the shipping determination means 11 and the overuse determination means 15. Since these configurations are the same as those of the management device 2 of the first embodiment, the description thereof will be omitted as appropriate. The information storage unit 8B of the management device 2B stores various information, operation programs, and the like necessary for the management device 2B. The management device 2B may be configured by a general personal computer.

Here, the dental unit 7B of the clinic 4 will be described. The dental unit 7B includes a read / write device 71B, a transmission unit 73, a use determination unit 75, a storage excess notification unit 77, and an information creation unit 79. The read / write device 71B is composed of an RFID reader / writer as described in, for example, Japanese Patent Application Laid-Open No. 2009-273718. In the present embodiment, the read / write device 71B reads the usage information from the state information storage unit 29B of the identifier T provided in the medical instrument DI used in the dental unit. The usage information that can be read includes the storage period of the medical instrument DI and the date and time of the previous end of use.

Based on the storage period read by the read / write device 71B, the use determination means 75 determines whether or not the date and time when the medical device DI is used in the clinic 4 is within the storage period set for the medical device DI. It is a judgment. The usage determination means 75 calls the usage information read by the reading / writing device 71B, determines whether or not the current day is within the storage deadline based on the storage deadline of the medical device DI included in the usage information, and determines. The result is notified to the storage excess notification means 77.

The storage excess notification means 77 notifies when the date and time when the medical device DI is used exceeds the storage deadline. The storage excess notification means 77 may perform a voice display such as sounding a buzzer or making a voice announcement, or may perform a visual display such as a display display. This makes it possible, for example, to inform the doctor that the medical device DI whose storage period has expired is about to be used.

The description of the configuration of the management device 2B will be continued.
As shown in FIG. 13, the management device 2B includes a receiving means 27, a storage excess determining means 17, and a storage excess notification means 41. The receiving means 27 receives, for example, the state information of the medical instrument read by the reading device 3 from the identifier T provided in the medical instrument DI stored in the sterility factory 5 from the sterility factory 5. Further, the receiving means 27 receives, for example, the state information of the medical instrument read by the reading device 3 from the identifier T provided in the medical instrument DI stored in the dental clinic 4 which is the user of the medical instrument DI. Receive from 4. The status information of the medical device includes the identification information of the medical device and the storage period. The receiving means 27 notifies the storage excess determination means 17 of the received status information of the medical device. The storage excess determination means 17 determines before and after the storage period included in the received state information of the medical device and the current date and time. When the current date and time exceeds the storage deadline, the storage excess notification means 41 notifies, for example, the sterility factory 5 or the dental clinic 4 that the storage period has expired.

[Processing flow in the medical equipment management system]
Next, the difference between the processing flow in the medical device management system 1B and the medical device management system 1 of the first embodiment will be described. In the medical instrument management system 1B, the processing flow at the time of shipment (FIG. 4) and the time of collection (FIG. 7) of the medical instrument DI is the same as that of the first embodiment. However, the flow of the delivery information creation process at the time of shipment (FIG. 14) is different from the flow of the process of FIG. In addition, the processing flow during use (FIG. 15), sterility (FIG. 16), and inventory management (FIGS. 17 and 18) of the medical instrument DI is the processing of FIGS. 6, 8, 9, and 10. It is different from the flow of. In the medical device management system 1B of the second embodiment, the reading device 3 of the first embodiment is generally read as a reading / writing device 3B, the identifier C of the first embodiment is read as an identifier T, and further, the first The operation when the state information storage unit 29 of the embodiment is read as the state information storage unit 29B is performed. The differences between the respective processes will be described below.

<At the time of shipment>
The flow of processing at the time of shipment of the medical instrument DI will be described with reference to FIGS. 4 and 14. The management device 2B sequentially executes the processes of steps S1, S2, S20, S3 and the like shown in FIG. However, regarding the delivery information creation process (step S20), the management device 2B executes the process shown in FIG. 14 instead of the process shown in FIG. 5 by the delivery information creating means 22 and the medical instrument allocation means 21.

As shown in FIG. 14, the medical device allocating means 21 of the management device 2B calls the shipping destination information and the number information generated by the delivery information creating means 22 (step S211). Then, the medical device allocating means 21 refers to the owner information 170 stored in the information storage unit 8B, and determines whether or not the owner information matching the called shipping destination information is stored (step S212). ). When the owner matching the shipping destination is stored (step S212: Yes), the management device 2B transmits a reading instruction of the state information to the information processing device 51 of the sterilization factory 5 (step S213). It should be noted that this state information includes sterility information of the medical instrument, and the reading instruction includes the identification information of the medical instrument and the owner information.

Then, in the sterility factory 5, the information processing apparatus 51 receives an instruction to read the state information (step S214). As a result, the worker of the sterility factory 5 receives the instruction to read the state information (step S215). Based on the owner information included in the reading instruction, the worker picks the corresponding medical instrument DI from the storage area where the sterilized medical instrument of the corresponding owner is stored in the warehouse area of the sterilization factory 5. An operation of reading the state information of the corresponding medical device is performed by the reading device 3 (step S216).

Then, the information processing device 51 of the sterility factory 5 receives the state information read by the reading device 3 via the in-house network, and notifies the management device 2B of the received state information (step S217). Then, the management device 2B receives the state information of the medical device in which the owner information is stored via the network NW (step S218). Then, the management device 2B allocates the sterilized medical device to the shipping destination with the owner information stored by the medical device allocating means 21 (step S219). Then, the medical device allocating means 21 determines whether or not the number of medical devices shipped is sufficient (step S220). When there is a shortage of medical instruments (step S220: No), the medical instrument allocation means 21 has no memory of owner information and allocates as many sterilized medical instruments as necessary (step S221). End the delivery information creation process.

On the other hand, in step S220, when the medical equipment is sufficient (step S220: Yes), the medical equipment allocating means 21 ends this delivery information creation process. Further, in step S212, when the owner information matching the shipping destination information is not stored (step S212: No), the medical instrument allocation means 21 proceeds to step S220, and the owner information is not stored. The medical device is assigned to the shipping destination, and this delivery information creation process is completed.

<When using>
First, as an example, a case where the storage period of the medical device DI has been exceeded at the time of use after the medical device DI has been shipped to the clinic 4 will be described. As shown in FIG. 15, the dental unit 7B of the clinic 4 monitors the use of the medical instrument DI by the read / write device 71B (step S21). The dental unit 7B determines whether or not the medical instrument DI is used (step S22). In step S22, if the medical instrument DI is not in the standby state and is not used (step S22: No), the dental unit 7B returns to step S21. On the other hand, when the medical instrument DI is in the standby state and will be used from now on (step S22: Yes), the read / write device 71B of the dental unit 7B is the state information of the identifier T provided in the medical instrument DI to be used. The usage information of the medical instrument DI is read from the storage unit 29B (step S23B).

Then, the use determination means 75 of the dental unit 7B calls up the use information read by the read / write device 71B (step S26B). The recalled usage information includes a retention period. Then, the dental unit 7B determines whether or not the current date and time is within the storage period of the medical instrument DI by the use determination means 75 (step S27B). If the storage period has been exceeded in step S27B (step S27B: No), the dental unit 7B notifies the storage period excess by the storage excess notification means 77 (step S30B).

Next, as another example, a case where the storage period of the medical device DI has not been exceeded at the time of use after the medical device DI has been shipped to the clinic 4 will be described. In this case, the dental unit 7B similarly executes the processes of steps S21 to S27B. However, since the dental unit 7B does not notify the user (for example, a doctor) that the storage period has expired, the user uses the medical instrument DI. Therefore, in step S27B, if the current date and time is within the storage period of the medical instrument DI (step S27B: Yes), the dental unit 7B updates the usage time information included in the usage information by the information creation unit 79. (Step S31B), the read / write device 71B writes the update information to the state information storage unit 29B of the identifier T provided in the medical instrument DI.

<At the time of sterility>
The processing of steps S63B to S65B shown in FIG. 16 is the same processing as that of steps S63 to S65 shown in FIG. However, it is different that the main body that performs the processes of steps S63B to S65B shown in FIG. 16 is not the management device but, for example, the information processing device 51 of the sterility factory 5.

<At the time of inventory management>
First, the flow of processing at the time of inventory management in the sterilization factory 5 of the medical instrument DI will be described with reference to FIG. 17 (see FIG. 9 as appropriate). The management device 2B monitors the state information about the medical instrument DI stored in the sterility factory 5 (step S71). In addition, this state information includes the storage period regarding the sterility information of the medical instrument DI. The management device 2B is configured so that, for example, if the information received from the outside via the network NW by the receiving means 27 is the state information of the medical device, the receiving means 27 is notified of the received information to the storage excess determination means 17. There is.

On the other hand, in the sterility factory 5, an operator, for example, in a warehouse area in the sterility factory 5, is placed on a sterility bag B in which a medical instrument DI to be monitored is enclosed by a stationary reading device 3 or a portable reading device 3. , The work of reading the state information of the medical equipment is sequentially performed (step S81). This work is started at a predetermined timing such as on time every day. Then, regarding the medical device DI to be monitored that has read the state information, the reading device 3 transmits the state information of the medical device to the management device 2B together with the inventory management time command (step S82). At this time, the reading device 3 is set to a mode in which the command at the time of inventory management can be transmitted. The inventory management time command is a command for causing the management device 2B to execute the following steps S72 and S73.

When the receiving means 27 receives the state information of the medical device from the reading device 3 of the sterilization factory 5 via the network NW, the management device 2B notifies the storage excess determination means 17 of the received state information of the medical device. Then, with respect to the medical device DI to be monitored that has received the status information, the management device 2B determines whether or not the current date and time is within the storage period of the medical device DI to be monitored by the storage excess determination means 17 (step S72). ). Since the processes of step S72 and steps S73 to S76 shown in FIG. 17 are the same as the processes of steps S72 to S76 shown in FIG. 9, the description thereof will be omitted.

Next, the flow of processing at the time of inventory management in the dental clinic 4 of the medical instrument DI will be described with reference to FIG. 18 (see FIGS. 10 and 17 as appropriate). In FIG. 18, the same processing as that shown in FIG. 17 is designated by the same reference numerals and description thereof will be omitted as appropriate.
The management device 2B monitors the state information about the medical instrument DI shipped and stored in the dental clinic 4 (step S71). On the other hand, in the dental clinic 4, the staff reads the state information of the medical equipment from the sterilization bag B in which the medical equipment DI to be monitored is enclosed by the stationary reading device 3 or the portable reading device 3. Are sequentially performed (step S81). This work is started at a predetermined timing such as on time every day. Then, regarding the medical device DI to be monitored that has read the state information, the reading device 3 transmits the state information of the medical device to the management device 2B together with the inventory management time command (step S82).

When the receiving means 27 receives the state information of the medical device from the reading device 3 of the dental clinic 4 via the network NW, the management device 2B notifies the storage excess determination means 17 of the received state information of the medical device. Then, with respect to the medical device DI to be monitored that has received the status information, the management device 2B determines whether or not the current date and time is within the storage period of the medical device DI to be monitored by the storage excess determination means 17 (step S72). ). Since the processes of steps S72 and steps S73 to S75 shown in FIG. 18 are the same as the processes of steps S72 to S75 shown in FIG. 10, the description thereof will be omitted.

[Second example of subscription method]
In the medical instrument management system 1B as well, the second example of the subscription method can be executed by modifying the collection box R (see FIG. 1) by providing a sensor or the like. Since the details are the same as those in the first embodiment, the description thereof will be omitted. In the second example, the medical instrument management system 1B has FIG. 11 when the medical instrument DI is shipped, FIG. 15 when it is used, FIG. 7 when it is collected, FIG. 16 when it is sterilized, and inventory management. For the time, the processes shown in FIGS. 17 and 18, respectively, are performed.

[Third example of subscription method]
In the medical appliance management system 1B as well, as shown in FIG. 13, the management device 2B includes a number of used number estimation means 31, a number of used number information storage unit 33, a usage fee billing means 35, and an information acquisition means 37, so that a subscription can be made. A third example of the scheme can be implemented. Since the details are the same as those in the first embodiment, the description thereof will be omitted. In the third example, the medical instrument management system 1B has FIG. 12 when the medical instrument DI is shipped, FIG. 15 when it is used, FIG. 7 when it is collected, FIG. 16 when it is sterilized, and inventory management. For the time, the processes shown in FIGS. 17 and 18, respectively, are performed.

Although each embodiment of the present invention has been described in detail, the present invention is not limited to each of the above-described embodiments, and includes design changes within a range that does not deviate from the gist of the present invention. For example, in the second example of the subscription method, the maker M has described as grasping the remaining number of unused medical instruments DI in the clinic 4, but the present invention is not limited to this, and the medical instruments used in the clinic 4 are used. You may try to grasp the number of DIs.

Further, as a modification of the first embodiment, the state information of the medical device may include cleaning information indicating that the medical device DI has been washed. In this case, the medical instrument management system can perform the same processing as the processing flow at the time of sterility shown in FIG. That is, when the cleaning of the medical instrument DI is completed, the reading device 3 transmits the identification information of the medical instrument to the management device 2 together with the cleaning command, so that the cleaning time information is updated in the same manner as the sterility time information. Can be managed.

Further, as a modification of the first embodiment, the state information of the medical device may include maintenance information indicating that maintenance such as lubrication to the medical device DI has been performed. In this case, the medical instrument management system can perform the same processing as the processing flow at the time of sterility shown in FIG. That is, when the maintenance of the medical instrument DI is completed, the reading device 3 sends the identification information of the medical instrument to the management device 2 together with the maintenance command, so that the maintenance time information is updated in the same manner as the sterilization time information. Can be managed.

Further, in each embodiment, it is assumed that the management devices 2 and 2B are located in, for example, the maker M or the sterilization factory 5, but the management devices 2 and 2B may be a server on the cloud, and may be a wireless or wired communication. Alternatively, even if the information processing device 51, the information processing device 6, the dental unit 7, the reading device 3, and the management devices 2 and 2B exchange data and information through a communication network via the network. good. In particular, the management device 2 provided with the state information storage unit 29 and managing a huge amount of data is preferably a server on the cloud.

Further, in each embodiment, the QR code reading device and the RFID reader are exemplified as the reading device, but the reading device is not limited to these, and for example, a visual sensor using a camera may be used. For example, in the medical device management system 1B shown in FIG. 13, when the read / write device 3B is replaced with a visual sensor, the visual sensor reads the image information of the identifier T provided in the medical device DI. In this case, the identifier T is not a wireless tag, and the state information storage unit 29B is not, for example, a semiconductor memory. However, this identifier T is associated with the identification information of the medical instrument DI and stores at least the state information of the medical instrument including the sterility information 120 regarding the sterility of the medical instrument DI. As a method of associating with the identification information, for example, a sheet-shaped member on which the identification information of the medical instrument DI is printed may be used for the identifier T. In this case, the identifier T stores sterilization information such as sterilized or unsterilized by providing the state information storage unit 29B with a member whose chemical properties change before and after sterility. As a result, the shipping determination means 11 of the management device 2B determines whether or not the sterility information is stored in the state information storage unit 29B for the medical instrument DI stored in the sterility factory 5, and if it is not stored. , It can be determined that the medical instrument DI cannot be shipped from the sterility factory 5 to the user 4.

More specifically, when the reading / writing device 3B is replaced with a camera (reading device) in the medical device management system 1B, this camera photographs the identifier T provided in the medical device DI. The identifier T preferably has a property of discoloring when the temperature exceeds a predetermined temperature required for sterility, and is a seal member attached to the medical instrument DI. As the sealing member, an adhesive material is formed on the back surface, and the identification information of the medical instrument DI is printed on the front surface, for example, the edge portion. Further, the identifier T stores sterility information by providing the state information storage unit 29B with a chemical indicator whose color changes after sterilization, such as that used for a sterility bag B, for example. As a result, the shipping determination means 11 of the management device 2B determines whether or not the identifier has discolored from the image of the identifier taken by the camera for the medical instrument DI stored in the sterility factory 5, and discolors the medical instrument DI. If not, it can be determined that the sterilization factory 5 cannot ship the medical instrument DI to the user 4.

Further, the medical device DI to which the identifier T made of the sealing member having such a property is attached is related to the user, staff, worker, etc. of the medical device DI even if it is distributed at a time other than the time of shipment. Can easily tell if it has been sterilized. Further, if the identifier T has the property of discoloring when the temperature exceeds a predetermined temperature required for sterility, it is also possible to use a low-cost sterility bag without a chemical indicator.

1,1B Medical equipment management system 2,2B Management device 3,71 Reading device 3B, 71B Reading / writing device 5 Sterile factory 6,51 Information processing device 7,7B Dental unit 9 Status information calling means 10 Judgment unit 11 Shipment judgment Means 13,75 Usage determination means 15 Overuse determination means 17 Storage excess determination means 20 Status information update unit 21 Medical appliance allocation means 23 Storage deadline setting means 27 Receiving means 29, 29B Status information storage unit 31 Number of units used Estimating means 33 Number of units used Information storage unit 35 Usage fee billing means 37 Information acquisition means 41,77 Storage excess notification means 43 Overuse notification means 45 Information creation unit 50 Warehouse DI Medical appliances C, T identifier

Claims (25)

It is equipped with a reading device that reads the identification information of the medical device from an identifier provided in the reuse type medical device, and a management device that manages the state of a plurality of the medical devices .
The management device is
A state information storage unit that stores the state information of the medical device, which is associated with the identification information of the medical device and includes at least sterility information regarding the sterility of the medical device, which is determined independently from the information regarding the shipping destination .
A state information calling means for calling the state information of the medical device from the state information storage unit based on the identification information read by the reading device.
A state information update unit that updates necessary information from the called state information,
It has a determination unit that determines the state of the medical device from the state information, and has.
The determination unit refers to the sterility information included in the state information in the state information storage unit for the medical equipment stored in the sterility factory, and stores information indicating that the sterility is effective. If the information indicating that the sterility is effective is not stored, a shipping determination means for determining whether or not the sterility is possible and determining that the medical equipment cannot be shipped from the sterility factory to the user of the medical equipment is provided. A medical device management system characterized by having. An identifier comprising a state information storage unit that stores the state information of the medical device, which is associated with the identification information of the reuse type medical device and includes at least sterilization information regarding the sterilization of the medical device, which is determined independently from the information regarding the shipping destination. A reading device for reading information from the identifier provided in the medical device, and a management device having a determination unit for determining the state of the medical device from the state information .
The determination unit refers to the sterility information included in the state information in the state information storage unit for the medical equipment stored in the sterility factory, and stores information indicating that the sterility is effective. If the information indicating that the sterility is effective is not stored, a shipping determination means for determining whether or not the sterility is possible and determining that the medical equipment cannot be shipped from the sterility factory to the user of the medical equipment is provided. A medical device management system characterized by having. The medical device management system includes a writing device for writing information to the identifier provided in the medical device.
The medical device management system according to claim 2, wherein the management device has an information creation unit that creates information written in the identifier. The state information includes usage information indicating that the medical device has been used by the user.
The shipping determination means determines before and after the sterilization time included in the sterilization information and the usage time included in the usage information stored in the state information storage unit, and the sterilization time is from the usage time. The medical device management system according to claim 1, wherein if it is later, it is determined that the medical device can be shipped. The state information includes usage information indicating that the medical device has been used by the user.
The shipping determination means determines before and after the sterilization time included in the sterilization information and the usage time included in the usage information stored in the state information storage unit, and the sterilization time is from the usage time. The medical device management system according to claim 3, further comprising determining that the medical device can be shipped if later. The management device is
A storage period setting means for setting an effective storage period for sterility of a medical device in the state information storage unit in association with the identification information of the medical device, and
A shipping date setting means for setting the shipping date of the medical device in the state information storage unit in association with the identification information of the medical device is provided.
When the sterility information is stored in the state information storage unit for the medical instruments stored in the sterilization factory, the shipping determination means determines before and after the shipping date and the storage deadline, and determines the storage deadline. The medical device management system according to claim 4, wherein when the product exceeds the shipping date, it is determined that the medical device can be shipped. The management device is
A storage period setting means for setting an effective storage period for sterility of a medical device in the state information storage unit in association with the identification information of the medical device, and
A shipping date setting means for setting the shipping date of the medical device in the state information storage unit in association with the identification information of the medical device is provided.
When the sterility information is stored in the state information storage unit for the medical instruments stored in the sterilization factory, the shipping determination means determines before and after the shipping date and the storage deadline, and determines the storage deadline. The medical device management system according to claim 5, wherein when the product exceeds the shipping date, it is determined that the medical device can be shipped. The management device is
With respect to the medical equipment stored in the sterilization factory, a storage excess determination means for determining before and after the current date and time and the storage period set for the medical equipment, and
The medical instrument management system according to claim 6, further comprising a storage excess notification means for notifying the sterilization factory of the expiration of the storage period when the current date and time exceeds the storage period. The management device is
A receiving means for receiving the identification information of the medical device and the storage period read from the identifier provided in the medical device stored in the sterilization factory by the reading device from the sterility factory.
A storage excess determination means for determining before and after the storage period and the current date and time received from the sterility factory together with the identification information of the medical instrument,
The medical instrument management system according to claim 7, further comprising a storage excess notification means for notifying the sterilization factory of the expiration of the storage period when the current date and time exceeds the storage period. The management device is
With respect to the medical equipment shipped to the dental clinic that is the user of the medical equipment, a storage excess determination means for determining before and after the current date and time and the storage deadline, and
The medical instrument management system according to claim 6, further comprising a storage excess notification means for notifying the dental clinic of the expiration of the storage period when the current date and time exceeds the storage period. The management device is
A receiving means for receiving the identification information of the medical device and the storage period read from the identifier provided in the medical device stored in the dental clinic that is the user of the medical device by the reading device from the dental clinic.
A storage excess determination means for determining before and after the storage period and the current date and time received from the dental clinic together with the identification information of the medical instrument.
The medical instrument management system according to claim 7, further comprising a storage excess notification means for notifying the dental clinic of the expiration of the storage period when the current date and time exceeds the storage period. The management device is
A receiving means for receiving identification information of the medical instrument as information indicating that the medical instrument is used from a dental unit having a reading device for reading the identification information of the medical instrument.
Whether or not the date and time when the medical device is used is within the storage period set for the medical device based on the storage period set in the state information storage unit associated with the identification information of the medical device. Use judgment means to determine whether
The medical device management system according to claim 6, further comprising a storage excess notification means for notifying the dental unit when the date and time when the medical device is used exceeds the storage period. A dental unit is provided outside the management device.
The dental unit is
A reading device that reads storage expiration information from the state information storage unit of the identifier provided in the medical instrument used in the dental unit.
A use determination means for determining whether or not the date and time when the medical device is used is within the storage period set for the medical device based on the storage period read by the reading device.
The medical device management system according to claim 7, further comprising a storage excess notification means for notifying when the date and time when the medical device is used exceeds the storage period. The management device is
An information acquisition means for acquiring information stored in an external information processing device via a network,
The claim from claim 6 is characterized by having a used number estimation means for estimating the number of used medical appliances required on the medical appointment date based on the medical information including the medical appointment information acquired from the information processing apparatus. Item 3. The medical device management system according to any one of items 13. The medical device management system according to claim 14, wherein the used number estimation means extracts medical device information input to the medical information and estimates the number of used medical devices. The medical treatment according to claim 15, wherein the number of used estimation means estimates necessary medical equipment from the medical information and the operator information acquired from an external information processing device by the information acquisition means. Instrument management system. The management device is
The used number information storage unit that stores the used number information for each customer,
Claims 14 to 14 include a usage fee billing means for calculating a usage fee from the usage number information for each predetermined period and transmitting the calculated usage fee invoice to the customer. 16. The medical device management system according to any one of 16. The sterilization time included in the sterilization information stored in the state information storage unit according to the number information and the shipping destination information of the medical instruments to be shipped to the user is generated. The medical device management system according to any one of claims 4 to 17, further comprising a medical device allocating means for allocating a required number of medical devices to the user in order from the oldest one. When the medical device is the property of an individual, the state information storage unit is characterized in that owner information indicating the owner of the medical device is stored in association with the identification information of the medical device. 18. The medical device management system according to 18. 19. The medical device allocating means is characterized in that, based on the owner information, the medical device owned by the user is preferentially assigned to the user specified by the shipping destination information. The medical care management system described in. When the owner corresponding to the user specified in the shipping destination information is not stored in the state information storage unit, the medical device allocating means provides the user with medical devices that are not the property of the individual. The medical care management system according to claim 19 or 20, characterized in that it is assigned. The management device is characterized in that the shipping destination information is associated with the identification information of the medical device and stored in the state information storage unit, and the stored information is deleted after the medical device is used and before the storage. The medical care management system according to any one of claims 18 to 21. The usage information includes the number of times the medical device has been used and / or the elapsed time of use.
The determination unit of the management device has an overuse determination means for determining whether or not the number of times of use and / or the elapsed time of use exceeds a specified value.
The management device according to any one of claims 4 to 22, wherein the management device has an overuse notifying means for notifying that the number of times of use and / or the elapsed time of use has exceeded a specified value. Medical equipment management system. The state information includes any one of claims 1 and 3 to 23, which includes history information accumulated for each identification information when information is set, updated, or changed. The medical device management system described in. The reading device is a camera that captures the identifier provided in the medical instrument.
The identifier is a sealing member that has the property of discoloring when the temperature exceeds a predetermined temperature required for sterility and is attached to the medical instrument.
The determination unit determines whether or not the identifier has changed color from the image of the identifier taken by the reading device for the medical instruments stored in the sterilization factory, and if the color has not changed, the determination unit determines whether or not the identifier has changed color. The medical device management system according to claim 2, wherein it is determined that the medical device to which the identifier is attached cannot be shipped to the user.

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